15年选择性冠状动脉造影术的变化趋势评估(摘要)
作者：吕树铮 陈韵岱 刘文娴 张维东 贾长琪 张维君
单位：北京市，首都医科大学附属北京安贞医院 心内科(100029)
关键词：
中国循环杂志99zk74 目的：为了解我院15年选择性冠状动脉造影术(CAG)的变化趋势。
方法：我院从1984年10月至1998年12月，以冠心病及鉴别诊断问题为主而行选择性CAG共2 643例，本文初步分析了2 643例病人的性别、年龄、临床症状、受累支的临床资料。
结果：CAG年总数由1984年的6例增至1998年的711例；15年间老年人(≥70岁)比例由1990年以前的0.5%上升至1998年的5.0%；男女性别比例是3.2∶1;术前诊为胸闷待查病人的比例由1990年以前的30.6%降为1998年的19%，而心绞痛病人比例由20%升至1998年40%，心肌梗塞病人的比例无明显变化；心功能Ⅲ级的病人比例由1990年以前的8.4%增加到1998年的20.8%。15年间CAG结果大致正常(狭窄≤50%腔径)的比例由1990年以前的45.7%降至1998年的26.5%；三支血管病变比例逐年增加。
结论：国人认同选择性冠状动脉造影术是诊断冠心病的金指标，15年间CAG术总数随冠心病发病率的增高而增加，其中老龄、复杂病变及心功能差的病人比例增多；术前胸闷待查病人比例及冠状动脉血管大致正常的比例下降，提示冠心病临床非介入诊断水平的提高。
The Evolution of Changing Tendency of Coronary Angiogram over the Last Fifteen Years (Abstract)
Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing (100029)
Lu Shuzheng, Chen Yundai, Liu Wenxian, et al.
Objective: To evaluate the changing tendency of coronary angiogram in patients from oct. 1984 to the end of 1998.
Methods: A total of 2 643 patients with coronary angiogram (CAG) which refer to the definite or suspect coronary artery disease were enrolled and the age, sex symptoms heart function and lesion vessel. The result of coronary angiogram divided into normal (no lesion or ≤50% stenosis), 1-, 2- and 3-vessel lesion (>50% obstruction in diameter).
Results: The number of patients with CAG was raised from 6 cases in 1984 to 711 cases of 1998 with an increase of age of the population (0.5% of patients older than 70 years before 1990 vs. 5.0% in 1998). The ratio of the male to female was 3.2∶1. The rate of patients with normal CAG decreased from 45.7% to 26.5% in 1998. The rate of patients with three vessel lesion enhanced obviously to 29.7% in 1998.
Conclusion: The number of patients with CAG increased year by year with the proportion of aging, severe heart failure and three-vessel lesion increased. The reduce of the rate of normal CAG suggests the improvement of clinical diagnosis of CAD., http://www.100md.com
单位：北京市，首都医科大学附属北京安贞医院 心内科(100029)
关键词：
中国循环杂志99zk74 目的：为了解我院15年选择性冠状动脉造影术(CAG)的变化趋势。
方法：我院从1984年10月至1998年12月，以冠心病及鉴别诊断问题为主而行选择性CAG共2 643例，本文初步分析了2 643例病人的性别、年龄、临床症状、受累支的临床资料。
结果：CAG年总数由1984年的6例增至1998年的711例；15年间老年人(≥70岁)比例由1990年以前的0.5%上升至1998年的5.0%；男女性别比例是3.2∶1;术前诊为胸闷待查病人的比例由1990年以前的30.6%降为1998年的19%，而心绞痛病人比例由20%升至1998年40%，心肌梗塞病人的比例无明显变化；心功能Ⅲ级的病人比例由1990年以前的8.4%增加到1998年的20.8%。15年间CAG结果大致正常(狭窄≤50%腔径)的比例由1990年以前的45.7%降至1998年的26.5%；三支血管病变比例逐年增加。
结论：国人认同选择性冠状动脉造影术是诊断冠心病的金指标，15年间CAG术总数随冠心病发病率的增高而增加，其中老龄、复杂病变及心功能差的病人比例增多；术前胸闷待查病人比例及冠状动脉血管大致正常的比例下降，提示冠心病临床非介入诊断水平的提高。
The Evolution of Changing Tendency of Coronary Angiogram over the Last Fifteen Years (Abstract)
Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing (100029)
Lu Shuzheng, Chen Yundai, Liu Wenxian, et al.
Objective: To evaluate the changing tendency of coronary angiogram in patients from oct. 1984 to the end of 1998.
Methods: A total of 2 643 patients with coronary angiogram (CAG) which refer to the definite or suspect coronary artery disease were enrolled and the age, sex symptoms heart function and lesion vessel. The result of coronary angiogram divided into normal (no lesion or ≤50% stenosis), 1-, 2- and 3-vessel lesion (>50% obstruction in diameter).
Results: The number of patients with CAG was raised from 6 cases in 1984 to 711 cases of 1998 with an increase of age of the population (0.5% of patients older than 70 years before 1990 vs. 5.0% in 1998). The ratio of the male to female was 3.2∶1. The rate of patients with normal CAG decreased from 45.7% to 26.5% in 1998. The rate of patients with three vessel lesion enhanced obviously to 29.7% in 1998.
Conclusion: The number of patients with CAG increased year by year with the proportion of aging, severe heart failure and three-vessel lesion increased. The reduce of the rate of normal CAG suggests the improvement of clinical diagnosis of CAD., http://www.100md.com