급성 심근경색증 환자에서의 임상상과 관동맥 조영 소견의 비교 = A correlative study of clinical features and coronary angiographic findings in patients with acute myocardial infarction

다국어 초록 (Multilingual Abstract)

To clarify correlation between clinical features and coronary angiographic findings in patients with acute myocardial infarction, author analyzed clinical features and coronary angiographic findings in 97 patients with acute myocardial infarction, who were evaluated by coronary angiography within 30days after onset of acute myocardial infarction.
The results were as follows;
1) The ratio of male to female was 68:29(2.3:1) and 38.1% of patients were at their 6th decade.
2) The frequency of risk factors of coronary artery disease was cigarrette smoking in 72.6%, hypertension
in 32.9%, obesity in 27.6%, diabetes mellitus in 23.7% and hypercholestrolemia in 20.6%. The mean number of risk factors was 1.7.
3) The Q-wave infarction was in 76 patients(77.3%) and non-Q wave in 21 patients (21.6%). Among the Q-wave infarction, 35(36.1%) had inferior wall infarction, 34(35%) had anterior wall infarction and 7(7.2%) had anteroinferior wall infarction.
4) Forty six patients(47.7%) had one-vessel disease, 28(28.9%) had two-vessel disease, 15(15.5%) had three-vessel disease, and 6(6.2%) had insignificant narrowing or normal artery.
5) Forty seven patients(48.4%) had severe narrowing, 29(29.9%) had total occlusion, 15(15.5%) had moderate narrowing, and 6(6.2%) had insignificant narowing. Each 49.2% of inferior wall infarction and non-Q wave infarction showed complete occlusion of infarct related artery.
6) There was no significant difference in left ventricular ejection fraction, age, collateral circulation, extent of coronary artery disease, and the number of risk factors between Q-wave and non-Q wave myocardial infarction.
7) There was no significant difference in left ventricular ejection fraction, age,number of risk factors, and complete occlusion of infarct related artery among the extent of coronary artery disease.
8) There was no signifcant difference in left ventricular ejection fraction, but significant difference in location of infarction and extent of coronary artery disease between the two groups with and without coronary artery collateral circulation.
9) There was no significant difference in age, sex, number of risk factors,collateral circulation, and extent of coronary artery disease between two groups with and without previous angina.
More extensive and subdivided studies may be necessary to clarify correlation between clinical features and coronary angiographic findings.

목차 (Table of Contents)

• 목차 = 0
• 서론 = 1
• 대상 및 방법 = 2
• 결과 = 5
• 성별 및 연령 분포 = 5
• 위험 인자 = 6
• 경색 위치 = 6
• 관동맥 질환의 정도 = 7
• 병변의 협착정도 = 7
• Q파 경색과 비Q파 경색간의 비교 = 9
• 관동맥 질환의 범위에 따른 비교 = 10
• 측부 순환 유무에 따른 비교 = 10
• 경색전 협심증의 유무에 따른 비교 = 12
• 혈전 용해제 사용에 따른 비교 = 12
• 고안 = 15
• 결론 = 19
• 참고문헌 = 21
• ABSTRACT = 28