心肌梗死；_心绞痛_不稳定型；_血管成形术

老年急性冠脉综合征的临床治疗

http://www.100md.com 《实用老年医学》 2000年第1期

心肌梗死；,心绞痛,不稳定型；,血管成形术,经腔,经皮冠状动脉；,老年人,【主题词】心肌梗死；心绞痛，不稳定型；血管成形术，经腔，经皮冠状动脉；老年人,1临床资料,2治疗与结果,3讨论,参考文献

     【摘要】目的探讨老年急性冠脉综合征(ACS)的临床治疗。方法总结56例60～87岁，平均(732±67)岁ACS患者临床、冠脉造影和经皮冠脉介入(PCI)、非体外循环下冠脉搭桥(OPCAB)资料。结果 ①804%(45例)有多项危险因素；②冠脉造影857%(48例)为多支、多处严重狭窄，15例心电图无ST段改变的不稳定型心绞痛者为多支病变；③42例51支血管置入60枚支架，8例患者行OPCAB。结论心血管病危险因素和发病时临床表现是老年ACS重要诊断依据。PCI和OPCAB治疗老年ACS疗效和安全性良好。

    【主题词】心肌梗死；心绞痛，不稳定型；血管成形术，经腔，经皮冠状动脉；老年人

    Therapy for acute coronary syndrome in the elderly

    HOU Xiaoping, DU Jun, LIU Chaozhong, MIAO Jingli, YIN Qiaoxiang, ZHANG Jing.

    Department of geratology and cardiology, Air Force General Hospital of PLA, Beijing 100036 China

    【Abstract】 Objective To explore the effects of percutaneous coronary intervention (PCI) and offpump coronary artery bypass grafting (OPCAB) in the elderly with acute coronary syndrome (ACS). Methods Fiftysix patients aged 6087 years (732±67 years) with ACS undergoing coronary angiography and PCI or OPCAB were analyzed. Resukts Fortyfive cases (804%) had multiple cardiac risk factors except age and sex. The significant lesions (stenosis≥50%) were detected in all patients. The severe stenosis of multivessel was found in 48 patients (857%). The 60 stents were implanted to 51 vessels of 42 patients respectively and OPCAB were successfully performed in 8 patients with a mean age of 753±62 years. Conckusions It is suggested that cardiac risk factors and the symptoms on attack are very important evidences in diagnosing ACS in the elderly. Therapy with PCI or OPCAB is beneficial and safe for the elderly with ACS. ......

百拇医药网 http://www.100md.com/html/DirDu/2007/03/23/39/91/67.htm

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