【摘要】 目的:探讨中国人与澳大利亚人冠状动脉病变规律的差异。方法:选择中国南京冠心病患者3 021例(男性占68.4%),澳大利亚悉尼同步入选3 230例患者(男性占67.5%),分别进行冠状动脉造影(CAG),比较冠状动脉病变的支数及部位。结果:①中国人CAG阳性率为69.4%,右冠状动脉优势型为85.2%,澳大利亚人CAG阳性率为75.5%(P<0.05),右冠状动脉优势型为82.9%。②两组冠状动脉病变主要累及的血管依次为左前降支(LAD)、右冠状动脉(RCA)、左回旋支(LCX)、左主干(LM),中国人与澳大利亚人3支病变分别为26.0%和31.9%(P<0.01)。③中国人男、女3支病变分别为29.8%和15.8%,澳大利亚人男、女3支病变分别为34.0%和26.2%,与中国人同性别比较,澳大利亚人男、女LM、RCA病变率均高(P<0.01)。结论:中国人与澳大利亚人冠状动脉病变依次累及LAD、RCA、LCX、LM;与中国人比较,澳大利亚冠心病患者冠状动脉病变程度重,而且男、女患者均重;与女性比较,两组的男性患者冠状动脉病变均较重。更多还原

【Abstract】 Objective:To study and compare coronary lesion by angiography between Chinese and Australian. Methods:3 021 Chinese patients from Nanjing and 3 230 Australian patients from Sydney,whom were suspected to have coronary heart disease(CHD),were included for coronary angiography.The coronary lesion was evaluated by the number and location of coronary lesion. Results:① 69.4% patients were diagnosed with CHD in Chinese,and 75.5% in Australian(P<0.05).Right coronary dominance was 85.2% in Chinese,and 82.9% in Australian.②The involved coronary arteries were left anterior descending branch(LAD),right coronary artery(RCA),left circumflex branch(LCX) and left main coronary artery(LM) in a descending order.The incidences of three branch lesions in Chinese and Australian were 26.0% and 31.9% respectively.③ The incidences of three branch lesions male and female were 29.8% and 15.8% in Chinese,34.0% and 26.2% in Australian.The incidences of both LM and LAD lesions in Australian were higher than those of the same gender Chinese.Conclusion:The involved coronary arteries were LAD,RCA,LCX and LM in a descending order.Compared to Chinese,both Australian male and female had severe coronary lesion.Male patience had more severe coronary lesion in both Chinese and Australian compared to female.更多还原