【摘要】 目的对急性冠脉综合征心电图表现与冠脉造影所见冠脉病变特点进行对比分析,并探讨病变与动脉硬化危险因素的关系。方法回顾分析2001-11～2004年底收治并经冠脉造影检查急性冠脉综合征(ACS)病人的临床资料,按年龄分为两组:<70岁组,≥70岁组。对比两组心电图、造影所见病变特点以及危险因素组成。结果在除右室导联组以外的各导联组,单支病变在<70岁组明显多于≥70岁组;老年组双支病变和3支病变明显增多,下后壁组虽有增多,但统计学意义不明显;高血压病比例组间无明显差异:46.3%比53.1%,P>0.05;糖尿病所占比例≥70岁组多于<70岁组:19.5%比58.26%,P<0.05;Tchol≥70岁组高于<70岁组:5.92±0.31比5.15±0.37,P<0.05;LDL≥70岁组低于<70岁组:5.31±0.22比4.25±0.17,P<0.05;TG无明显差异:2.68±0.19比2.73±10.21,P>0.05;AMI≥70岁组明显多于<70岁组:35%比65.5%,P<0.05;ST段下移的AMI≥70岁组明显多于<70岁组11.6%比43.8%;P<0.05。结论老年急性冠脉综合征患者的冠脉病变多支血管病变多见,AMI ST段下移更多见,高龄、糖尿病和心电图ST段下移多预示多支血管病变;危险因素方面高血压病组成年龄分组无明显差异,老年组糖尿病高甘油三酯增多,低于70岁组高胆固醇和低密度脂蛋白较多。更多还原

【Abstract】 Objective To discuss the relation of lesion and arteriosclerosis risk factors through contrast analysis betweenECG and coronary angiography of acute coronary syndrome(ACS).Methods The ACS patient materials from November 2001 to December 2004 were divided into two groups: group A(age less than 70) and group B(older than 70).The ECG,angiography and risk factors were analyzed in contrast.Results Except right ventricular leads,single branch lesion in group A was higher than that in group B.Group B was common seen double and three branches involved.There was no significant difference between two group with hypertension and TG.There were significant differences between two groups that the data in group B was more than those in group A in diabetes,Tchol,and LDL as well as AMI especially with S-T segment lower patient.Conclusion The senile ACS patient might be common involved multiple branches with AMI S-T segment lowered,higher aged and diabetes.There risk factors were diabetes,higher LDL,Tchol and TG in significant difference but without hypertension in both groups.更多还原