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2001•Chinese Journal of Interventional CardiologyRequires access

Clinical analysis of normal coronary arteriography with acute myocardial infarction

Wei Qiang Gao

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Abstract

Objective To investigate the morbidity rate and clinical characteristics of acute myocardial infarction (AMI) with normal coronary angiograms (CAG) Methods The results of CAG and some correlated risk factors in 869 patients with AMI enrolled from May 1987 to May 2001 were analysed Results The patients with AMI and normal CAG accounted for 67/869 (7 7%) patients, most of whom were the younger and somkers, but free of angina pectoris, hypertension, diabetes millitus and hyperlipidemia ( P 0 01) Conclusion CAG negative is not infrequent in patients with AMI The results indicate that coronary artery spasm play an important role in AMI with normal CAG Acute thrombosis and auto thromobolysis is also one of the pathologic changes

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What this paper is about

Objective To investigate the morbidity rate and clinical characteristics of acute myocardial infarction (AMI) with normal coronary angiograms (CAG) Methods The results of CAG and some correlated risk factors in 869 patients with AMI enrolled from May 1987 to May 2001 were analysed Results The patients with AMI and normal CAG accounted for 67/869 (7 7%) patients, most of whom were the younger and somkers, but free of angina pectoris, hypertension, diabetes millitus and hyperlipidemia ( P 0 01) Conclusion CAG negative is not infrequent in patients with AMI The results indicate that coronary artery spasm play an important role in AMI with normal CAG Acute thrombosis and auto thromobolysis is also one of the pathologic changes

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Available abstract

Objective To investigate the morbidity rate and clinical characteristics of acute myocardial infarction (AMI) with normal coronary angiograms (CAG) Methods The results of CAG and some correlated risk factors in 869 patients with AMI enrolled from May 1987 to May 2001 were analysed Results The patients with AMI and normal CAG accounted for 67/869 (7 7%) patients, most of whom were the younger and somkers, but free of angina pectoris, hypertension, diabetes millitus and hyperlipidemia ( P 0 01) Conclusion CAG negative is not infrequent in patients with AMI The results indicate that coronary artery spasm play an important role in AMI with normal CAG Acute thrombosis and auto thromobolysis is also one of the pathologic changes

Key concepts: Medicine, Internal medicine, Cardiology, Myocardial infarction, Hyperlipidemia, Diabetes mellitus, Angina, Thrombosis

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