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Clinical and coronary angiography analysis of hypertension in elderly patients with chest pain
2002
目的为了解老年高血压伴胸痛的临床诊断问题.方法本组回顾性分析86例老年高血压伴胸痛病人诊断为冠心病、心绞痛行冠状动脉造影检查的临床资料.冠心病组44例:冠脉造影血管狭窄≥75%或冠脉狭窄50%～75%且临床有心肌缺血证据;对照组42例:冠脉造影结果除外冠心病.并对两者有关冠心病的危险因素与临床特点进行比较.结果两者之间临床上较难鉴别,但典型心绞痛可高度提示冠心病的可能.结论确诊冠心病冠状动脉造影是必需的.
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