摘要
目的：探讨老年急性冠脉综合征(ACS)患者接受经皮冠状动脉介入治疗(PCI)的临床价值。方法：70岁以上老年ACS患者50例,对持续性胸痛伴(或)ST段抬高心肌梗死患者(AMI 2例,UA2例)行急诊PCI；对非ST段抬高ACS患者经规范内科治疗病情平稳1周后行PCI。结果：对70支罪犯血管进行PTCA术后置入81枚支架。49例患者随访8～24个月无心绞痛发作；1例术后2个月冠脉造影显示支架内再狭窄,经支架内再支架置入术后随访5个月无心绞痛发作。结论：对老年ACS患者及时进行PCI可获得良好效果,临床安全程度高。
Objective： To evaluate the clinical significance of percutaneous coronary intervention （PCI） for elderly patients with acute coronary syndrome （ACS）. Methods. Fifty patients aged 70 years or greater with ACS underwent PCI. Four patients with persisted chest pain and （or） ST-seg ment elevation underwent emergency PCI. Patients with non ST-segment elevation ACS underwent PCI after standard medical treatment , Results： A total of 70 culprit vessels were treated （81 stents）. After follow-up for 8-24 months,in-stent restenosis was found in only one patient（2.0%）. Conclusions： PCI was an effective and safe method for treating elderly patients with ACS.
出处
《国际心血管病杂志》
2006年第3期194-195,共2页
International Journal of Cardiovascular Disease
关键词
老年
经皮冠状动脉介入治疗
急性冠脉综合征
Elderly patients
Percutaneous coronary intervention
Acute coronary syndrome
