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糖尿病患者易患冠心病,且常表现为无痛性心肌缺血或梗塞,后者可能反映了糖尿病患者心脏感觉神经的特异性损害。本文对患有典型劳力性心绞痛的糖尿病病例和非糖尿病病例进行比较研究,以探讨糖尿病植物神经和周围神经病变在影响心绞痛阈值中的可能机理。方法从本院心脏病和糖尿病诊所及地区的糖尿病诊所就诊病人中,选择典型的劳力性心绞痛(伴有或不伴有糖尿病)而心电图活动平板运动试验阳性(运动中出现有诊断意义的 ST 段压低,随后发生心绞痛)者作为研究对象。已经除外下列情况:不稳定型心
Diabetics are predisposed to coronary heart disease and often exhibit painless myocardial ischemia or infarction, which may reflect specific damage to cardiac sensory nerves in diabetic patients. In this paper, patients with typical exertional angina pectoris and non-diabetic cases were compared to investigate the possible mechanism of diabetic autonomic and peripheral neuropathy in the impact of angina pectoris threshold. Methods From the patients in the clinic of heart disease and diabetes clinics in our hospital and in the area of diabetes clinics, we selected typical exertional angina (with or without diabetes) and electrocardiogram positive treadmill exercise test (there was a diagnosis of ST segment Depression, followed by angina) as the research object. Except for the following cases: unstable heart