Clinical Observation on Coronary Heart Disease

A clinical observation was done on 144 cases of coronary heart disease admitted to Ewha Womans University Hospital from January, 1973 to December, 1997. The following results have been obtained. 1. The 144 cases were composed with 46.4% of atherosclerotic heart disease, 29.2% of myocardial infarction, 18.8% of coronary insuffiency and 5.6% of angina pectoris. 2. The ration of male to female was 1:1.14. The most patients were in the age group between the 6th and 7th decades(60.4%). 3. The major symptoms of coronary heart disease were precordial pain(54.2%) and dyspnea(45.1%). The pain was radiated in 24.3% 4. The most common preceding disease was hypertension(39.3%) followed by diabetes mellitus(11.5%). 5. There were leukocytosis in 66.6%, increased SGOT in 39.3%, increased LDH in 71.5% and increased cholesterol in 49.5% 6. The common associatd electrocardiographic abnormalities were left ventricular hypertrophy(28%), sinus tachycardia(16.9%), premature ventricular beat(11.6%). first degree AV block (8.4%) and premature atrial beats(6.1%). 7. The ratio of anterior to posterior wall infarction was 4:1. 8. The common findings of chest PA were cardiomegaly(38.5%), Atherosclerotic changes of aorta(15.2%) and pulmonary congestion(2.4%). 9. The mortality rate was 6.2%(10 cases). Among them, myocardial infarcition was 5 cases. atherosclerotic hart disease was 4 cases and coronary insufficiency was 1 case.