PARADOX OF NORMAL SELECTIVE CORONARY ARTERIOGRAMS IN PATIENTS CONSIDERED TO HAVE UNMISTAKABLE CORONARY HEART DISEASE
PARADOX OF NORMAL SELECTIVE CORONARY ARTERIOGRAMS IN PATIENTS CONSIDERED TO HAVE UNMISTAKABLE CORONARY HEART DISEASE
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DOI：
10.1056/nejm196705112761904
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发表时间：
1967-01-01
影响因子：
158.5
通讯作者：
KASPARIAN, H
中科院分区：
文献类型：
--
作者：
LIKOFF, W;SEGAL, BL;KASPARIAN, H
电影冠状动脉造影术提供了一种手段，将冠心病的临床表现与活着的患者中负责的血管异常联系起来。12345几项比较分析表明，在大多数心绞痛和运动后心电图异常的患者中，至少有两条主要冠状动脉可以证明动脉粥样硬化阻塞。1234在记录这些患者动脉疾病的广泛分布和严重程度时，这些报告基于临床和病理发现的比较，与早期的观点相似。6显然，当冠状动脉显著异常、主动脉瓣返流、主动脉狭窄时，这种相关性不成立。
CINE coronary arteriography affords a means of correlating clinical manifestations of coronary heart disease with responsible vascular abnormality in the living patient.12345Several of the comparative analyses have indicated that obstructing atherosclerosis can be demonstrated in at least 2 major coronary arteries in most patients with angina and abnormal electrocardiograms at rest and after exercise.1234In documenting the wide distribution and severity of the arterial disease in these patients the reports parallel earlier views based on comparisons between clinical and morbid findings.6Obviously, the correlation does not hold when a significant anomaly of the coronary arteries, aortic regurgitation, aortic stenosis . . .