摘要
目的探讨老年急性心肌梗死(AMI)患者接受择期经皮冠状动脉介入治疗(PCI)的临床价值。方法选择我院收治的70岁以上老年AMI患者30例,经规范内科治疗,病情平稳2周后行PCI。结果对38支梗死相关动脉(IRA)行FIEA术后置入42枚支架。29例患者随访6~24个月无心绞痛发作;1例术后3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诊5个月无心绞痛发作。结论对老年AMI患者及时择期进行PCI可获得良好效果,临床安全程度高。
Objective To evaluate the clinical significance of elective pereutaneous eorenary intervention (PCI) for elderly patients with acute myocardial infarction (AMI). Methods Thirty patients aged 70 years or greater with AMI underwent PCI after standard medical treatment. Results A total of 38 enlprit vessels were treated (42 stents). After follow up for 6 - 24 months, in - stent restenosis was found in only one patient. There were no angina peetoris attack after follow up for 5 months. Conclusion Elective PCI was an effective and safe method for treating elderly patients with AMI.
出处
《实用心脑肺血管病杂志》
2007年第2期138-139,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
老年人
经皮冠状动脉介入治疗
心肌梗死
Aged
Pereutaneous eorenary intervention
Myocardial infarction