Unikas Ramūnas, Vaicekavicius Edvardas, Navickas Ramūnas, Jarusevicius Gediminas, Janavicius Arnoldas, Audickas Dainius, Grinius Virgilijus
Clinic of Cardiology, Kaunas University of Medicine, Eiveniu 2, 3007 Kaunas, Lithuania.
Medicina (Kaunas). 2004;40 Suppl 1:103-5.
Percutaneous coronary angioplasty is very well known percutaneous revascularization procedure. Results of the percutaneous coronary angioplasty vary according to the stage of ischemic heart disease. The aim of our study was to evaluate and to compare the results of percutaneous coronary angioplasty in patients with stable and unstable angina. We analyzed data from 1148 patients in both groups. The extent of atherosclerosis was significantly higher in unstable angina group, however there was no significant difference in procedural as well in in-hospital outcomes between two groups. Success rate was 86% in unstable angina group and 83.3% in stable angina group. Major adverse cardiac events occurred in 1.48% patients with no difference in both groups. Left ventricular ejection fraction and end-diastolic diameter improved more in unstable angina group.
经皮冠状动脉腔内血管成形术是一种广为人知的经皮血管重建手术。经皮冠状动脉腔内血管成形术的结果因缺血性心脏病的阶段而异。我们研究的目的是评估和比较稳定型心绞痛和不稳定型心绞痛患者经皮冠状动脉腔内血管成形术的结果。我们分析了两组1148例患者的数据。不稳定型心绞痛组的动脉粥样硬化程度明显更高，然而两组在手术及住院结局方面没有显著差异。不稳定型心绞痛组的成功率为86%，稳定型心绞痛组为83.3%。主要不良心脏事件发生在1.48%的患者中，两组无差异。不稳定型心绞痛组的左心室射血分数和舒张末期直径改善更为明显。
