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慢性完全性左束支传导阻滞与冠状动脉病变部位之间的关系
引用本文:高阳,姚美娟,戎卫海,龚开政,董志峰,宋国杰,张振刚.慢性完全性左束支传导阻滞与冠状动脉病变部位之间的关系[J].临床医药实践,2006,15(8):572-574.
作者姓名:高阳  姚美娟  戎卫海  龚开政  董志峰  宋国杰  张振刚
作者单位:1. 江苏省扬州大学第二临床医院,江苏,扬州,225001
2. 江苏省海门市中医院,江苏,海门,226100
3. 上海复旦大学附属中山医院,上海,200032
摘    要:目的:探讨完全性左束支传导阻滞(CLBBB)与冠状动脉病变部位的关系。方法:回顾分析2704例冠状动脉造影患者的资料,对伴有CLBBB的48例患者的冠状动脉造影结果与同期选择96例非CLBBB患者的资料进行分析。结果:CLBBB组中17例(35.4%)诊断为冠心病,其中左前降支病变16例(94.1%),左回旋支病变9例(52.9%),右冠状动脉病变11例(64.7%)。但病变狭窄程度与病变部位无关。而非CLBBB组中有25例(26.0%)被诊断为冠心病。结论:冠心病患者CLBBB的出现可能与左前降支病变有关。

关 键 词:完全性左束支传导阻滞  冠心病  冠状动脉造影术
文章编号:1671-8631(2006)08-0572-03
收稿时间:2006-03-01
修稿时间:2006年3月1日

The relationship between chronic complete left bundle branch block and lesion site of coronary artery disease
GAO Yang,YAO Mei-Juan,RONG Wei-Hai,GONG Kai-Zheng,DONG Zhi-Feng,SONG Guo-Jie,ZHANG Zhen-Gang.The relationship between chronic complete left bundle branch block and lesion site of coronary artery disease[J].Proceeding of Clinical Medicine,2006,15(8):572-574.
Authors:GAO Yang  YAO Mei-Juan  RONG Wei-Hai  GONG Kai-Zheng  DONG Zhi-Feng  SONG Guo-Jie  ZHANG Zhen-Gang
Abstract:Objective:To evaluate the relationship between chronic complete left bundle branch block(CLBBB)and lesion sites of coronary heart disease(CHD).Methods:Retrospectively analyzing the data of a total of 2704 patients underwent selective coronary angiography.The CLBBB group consisted of 48 patients with CLBBB.The other 96 cases without CLBBB randomly selected from the whole group were a control group.Results:Of 17 patients(35.4%) in the CLBBB group were diagnosed as CHD.The lesions lied in left anterior descending branch for 16 patients(94.1%),left circumflex branch for 9 cases(52.9%)and right coronary artery for 11 patients(64.7%),respectively.The control group included 25 cases(52.1%) with CHD.Conclusion:The electrocardiographic CLBBB in patients with CHD might be concerned with lesion of left anterior descending branch.
Keywords:complete left bundle branch block  coronary heart disease  coronary angiography
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