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经皮冠状动脉血运重建：它是否物有所值？

Percutaneous coronary revascularisation: is it ever worth what it costs?

作者信息

Mark Daniel B

出版信息

Heart. 2007 Oct;93(10):1161-3. doi: 10.1136/hrt.2007.130401.

DOI:10.1136/hrt.2007.130401
PMID:17890684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2000929/
Abstract

“How could percutaneous coronary intervention without the risks and morbidities of heart surgery not be of benefit to patients? Hard experience teaches that such attractive “pathophysiological” simplifications are unreliable guides to practice and paradoxically may lead to worse rather than better treatment decisions”

摘要

没有心脏手术风险和并发症的经皮冠状动脉介入治疗怎么可能对患者没有益处呢？惨痛的经验告诉我们，这种诱人的“病理生理”简化并不是可靠的实践指南，而且自相矛盾的是，可能会导致更糟糕而非更好的治疗决策。

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本文引用的文献

1
Is primary angioplasty cost effective in the UK? Results of a comprehensive decision analysis.在英国，直接冠状动脉介入治疗是否具有成本效益？一项全面决策分析的结果
Heart. 2007 Oct;93(10):1238-43. doi: 10.1136/hrt.2006.111401. Epub 2007 Aug 23.
2
Optimal medical therapy with or without PCI for stable coronary disease.稳定型冠心病接受或不接受经皮冠状动脉介入治疗的优化药物治疗
N Engl J Med. 2007 Apr 12;356(15):1503-16. doi: 10.1056/NEJMoa070829. Epub 2007 Mar 26.
3
Cost effectiveness of clinically appropriate decisions on alternative treatments for angina pectoris: prospective observational study.关于心绞痛替代治疗临床适宜决策的成本效益：前瞻性观察性研究
BMJ. 2007 Mar 24;334(7594):624. doi: 10.1136/bmj.39129.442164.55. Epub 2007 Mar 5.
4
Heart disease and stroke statistics--2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee.《2007年心脏病和中风统计数据更新：美国心脏协会统计委员会及中风统计小组委员会报告》
Circulation. 2007 Feb 6;115(5):e69-171. doi: 10.1161/CIRCULATIONAHA.106.179918. Epub 2006 Dec 28.
5
Coronary intervention for persistent occlusion after myocardial infarction.心肌梗死后持续性闭塞的冠状动脉介入治疗。
N Engl J Med. 2006 Dec 7;355(23):2395-407. doi: 10.1056/NEJMoa066139. Epub 2006 Nov 14.
6
Long-term outcome of primary percutaneous coronary intervention vs prehospital and in-hospital thrombolysis for patients with ST-elevation myocardial infarction.ST段抬高型心肌梗死患者接受直接经皮冠状动脉介入治疗与院前及院内溶栓治疗的长期预后
JAMA. 2006 Oct 11;296(14):1749-56. doi: 10.1001/jama.296.14.1749.
7
Benefit of early invasive therapy in acute coronary syndromes: a meta-analysis of contemporary randomized clinical trials.早期侵入性治疗在急性冠状动脉综合征中的益处：当代随机临床试验的荟萃分析。
J Am Coll Cardiol. 2006 Oct 3;48(7):1319-25. doi: 10.1016/j.jacc.2006.06.050. Epub 2006 Sep 12.
8
Does time matter? A pooled analysis of randomized clinical trials comparing primary percutaneous coronary intervention and in-hospital fibrinolysis in acute myocardial infarction patients.时间重要吗？一项对比较急性心肌梗死患者直接经皮冠状动脉介入治疗和院内溶栓治疗的随机临床试验的汇总分析。
Eur Heart J. 2006 Apr;27(7):779-88. doi: 10.1093/eurheartj/ehi810. Epub 2006 Mar 2.
9
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Heart. 2006 May;92(5):641-9. doi: 10.1136/hrt.2005.061622. Epub 2005 Oct 10.
10
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N Engl J Med. 2005 Sep 15;353(11):1095-104. doi: 10.1056/NEJMoa044259.