비Q파 심근 경색의 임상 소견에 대한 연구 = Clinical Evaluation of Non Q Wave Myocardial Infarction

국문 초록 (Abstract)

1993년 10월에서 1994년 9월의 기간동안 인제대학교 부산 백 병원에서 비Q파 심근경색으로 진단 받은 23명의 환자를 대상으로 그 임상적 특징 및 관상동맥조영술을 분석하여 Q파 심근경색에 비해 측부순환의 형성 빈도는 높으나 좌심실조영술상 비정상적인 심실 운동의 출현 빈도는 낮음을 관찰하였기에 문헌 고찰과 함께 보고하고자 한다.

다국어 초록 (Multilingual Abstract)

Despite of haying smaller infarct size and better left ventricular function, patients with non Q wave myocardial infartion(MI) have been reported high rate of late mortality due to recurrent MI, precipetated by more residual viable tissues in the perfusion zone of infarct-related arteries. To evaluate the clinical characteristics and coronary angiographic findings of non Q wave myocardial infarction, 23 patients with non-Q wave myocardial infarction who were admitted between Oct.1993 and Sep. 1994 were reviewed and analyzed retrospectively.
The results were as follows :
1) The mean age was 40-50 Years. Male to female ratio was 6:1. Most common risk factor was smoking
2) Most common electrocardiographic finding was anterior or lateral wall infarction. Five patients(21.7%) among total twenty three patients had normal electrocardiographic finding
3) Selective coronary angiographic was performed in nineteen patient. Each patient was classified as haying one-,two-,three vessel coronary artery disease. In one case(5.3%), angiographic finding was normal. Seven cases(36.8%) were one vessel disease. And four cases were three vessel disease Coronary artery with complete stenosis(100%) was present in five patients and low grade obstruction (<50%) was present in three patients.
4) Formation of collateral circulations was observed in 73.7% and incidence of abnormal left ventricular wall motion was less frequent.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.대상 및 방법
• Ⅲ.결과
• 1.임상적 특징
• 2.심전도 변화
• 3.경색 발생 부위
• 4.심도자술 및 관상동맥 조영술
• Ⅳ.고찰
• Ⅴ.결론