Throndson Karen, Sawatzky Jo-Ann V
Faculty of Nursing, University of Manitoba.
Can J Cardiovasc Nurs. 2009;19(3):16-23.
Percutaneous coronary intervention (PCI) represents a technical advance in the treatment of coronary artery disease. However, it is not without risks both during and after the procedure. In-stent restenosis (ISR) is the most common complication following PCI. Individuals who experience angina associated with ISR often fail to recognize its seriousness and, therefore, do not respond appropriately to the situation. Individuals with ISR are vulnerable to the consequences of angina, including increased morbidity and mortality, as well as a decreased health-related quality of life. In this article, the authors review the risks for developing ISR, the pathophysiology of angina related to ISR, and the challenges that face patients who develop recurrent angina post-PCI. Cardiovascular nurses play a critical role in the clinical management and education of patients following PCI. The provision of post-PCI follow-up care is key to identifying, managing, and supporting patients with recurrent angina.
经皮冠状动脉介入治疗（PCI）是冠状动脉疾病治疗领域的一项技术进步。然而，该手术过程中和术后并非没有风险。支架内再狭窄（ISR）是PCI术后最常见的并发症。经历与ISR相关心绞痛的患者往往意识不到其严重性，因此对这种情况反应不当。患有ISR的个体易受心绞痛后果的影响，包括发病率和死亡率增加，以及健康相关生活质量下降。在本文中，作者回顾了发生ISR的风险、与ISR相关心绞痛的病理生理学，以及PCI术后发生复发性心绞痛患者所面临的挑战。心血管护士在PCI术后患者的临床管理和教育中起着关键作用。提供PCI术后随访护理是识别、管理和支持复发性心绞痛患者的关键。
