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中青年人原因未明的胸痛伴心电图异常的临床诊断

The Clinical Diagnosis of Chest Pain Unknown Etiology Associated with Abnormal ECG in Middle Age and Youth

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【作者】 曲乃路赵驰赵波陈淑敏马洪武董剑许广沅赵长青赵瑾瑶

【Author】 Qu Nailu,et al Cardiovascular department of Dalian Central Hospital

【机构】 大连市中心医院心内科大连医学院组胚教研室大连医学院病理解剖教研室大连医学院组胚教研室 116033116033

【摘要】 25例原因未明的胸痛伴 ECG 异常的中青年人,年龄23~49岁,男18例,女7例。经选择性冠状动脉造影(SCAG)及/或心内膜心肌活检(EMB),23例(92%)获得诊断。结果提示,部分冠心病与心肌病之间相互交叉误诊并非罕见,应引以重视。

【Abstract】 Twenty-five cases in middle age and youth with chest pain of unknown etiologyassociated with abnormal ECG but without confirmed diagnosis were reported.Thepatients’ age ranged from 23-49 years(mean 36.3 years),18 were male and 7 female.Selective coronary arteriography(SCAG)and/or endomyoacardial biopsy(EMB)wereperformed in those patients with significant diagnostic result(92%).It was suggestedthat misdiagnosis was not rare in some CHD and DCM,hence attention should bepaid.

【关键词】 胸痛心电图异常冠心病心肌病
【Key words】 Chest painAbnormal ECGCHDMyocardial disease
  • 【文献出处】 天津医药 ,Tianjin Medical Journal , 编辑部邮箱 ,1993年03期
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