116 patients with digital subtraction coronary ang

e707004304 · Wysłany: Pon 23:24, 21 Mar 2011

116 patients with digital subtraction coronary angiography compared with the clinical diagnosis

(Supp1) a 1999; (364): l6BertrandME,[link widoczny dla zalogowanych], LablaneheJM, T ~ lmantPY, at. FrequencyOprovokedcoronaryarterialspasminl089eot ~ seeutirepatieatundergoingcoronarya ~ enography · Circulation. 198g {95: j299 (Received】 8】 99 508) reported 1 case of coronary aneurysm /. Cha Gui Gui Lan Wang pot full to empty homes ... 152 46700027 (PLA Hospital, Henan Pingdingshan) Key words coronary artery aneurysms; coronary angiography - coronary Li Yong tumor volume (Coronaryarteryan ~ urysms, CAA), also known as coronary Fixed Wing limitations of expansion, although the coronary Wing wall continuity, but because of the limitations of the wall of the meager result in coronary artery wall expansion. The absence of the disease difficult to diagnose coronary angiography or autopsy. We now report the following confirmed cases of CAA. 1 male patient medical record, 68 years old. Solid angina pectoris 5 years, 8 months were increased hospital. In June 1991 with acute inferior wall myocardial infarction. Repeated six months after the labor pains of the heart refuse August 1995 frequent angina pectoris, the pain increased, duration. Chi also occurred under the rest-like pain. Check off one hospital, blood pressure 13/9kPa, heart rate 82 attacks / m [n law Qi, the apex A l and I / Ⅵ systolic murmur grade hair samples. Terror. Abdomen no abnormalities. ECG showed QRS ¨ was qR type,[link widoczny dla zalogowanych], TI, aVI, v set collapse, ST down 15mm. Less left ventricular angiography ventricular ejection fraction of 46 coronary angiography See Mi proximal right coronary artery completely c Ding plug (ie, distal paragraph 1), proximal vascular branch expansion and the establishment of compensatory collateral circulation. Main coronary artery and circumflex artery was the beginning of a cystic dilation of the Department of each film, and its narrow crown indemnity were 5O (1.5cnl long) and 95 (2.0cm long), distal circumflex artery in the blood remote from the anterior descending branch of collateral circulation with retrograde filling established Peng Chong Sheng complex coronary angiography showed two lesions, crown Wing anterior descending, circumflex artery aneurysms 2 to discuss the cases of older men, typical angina pain symptoms. ECG showed old inferior wall myocardial infarction and chronic g-ischemic changes, coronary artery by coronary angiography diagnosed cancer,[link widoczny dla zalogowanych], the right coronary artery completely c Ding plug, complex and serious disease. Tsui coronary carcinoma, according to investigation reports so far of only 2 down 'CAA is based on the histopathology of the middle by various Harada coronary damage,[link widoczny dla zalogowanych], caused by coronary artery middle weak, connective tissue replacement, coronary artery wall thinning,[link widoczny dla zalogowanych], elastic disappear. In blood pressure, force, or under tension resulting in the arterial wall and the formation of local Wedelia the CAA, the performance of the cystic, prismatic. The typical reverse coronary heart disease, angina pectoris and old myocardial infarction. Coronary angiography showed occlusion of right coronary artery, the main anterior descending coronary artery and the circumflex artery stenosis. Analysis of CAA with severe arterial atherosclerosis were narrow, the narrow proximal vascular resistance increased, so has the arteries of the middle weak and easy to cavity expansion. The inverted left coronary main blood vessel Mi 2 CAA is rare. CAA's prognosis and cure. According to the data analysis】, many accompanied by solid cAA coronary three lesions. Stenosis ≥ 75 and higher concurrent Fortunately, it is a poor prognosis of myocardial infarction. The reasons for the high incidence of myocardial infarction and mechanical changes in tumor blood flow is easy to form clots on addition, CAA glass cracking and sudden death prone to conservative therapy when the treatment given anticoagulant, antiplatelet drugs and calcium antagonists and nitrates medicine. Foreign claims on the government of serious coronary artery stenosis change was feasible Mu angioplasty coronary bypass surgery coronary artery. Would reduce the CAA complications.