First Department of Cardiology, Hippokration Hospital, University of Athens, Greece.
Am J Med Sci. 2010 Jun;339(6):568-72. doi: 10.1097/MAJ.0b013e3181d673d7.
Although the therapeutic advantage of percutaneous coronary intervention in acute coronary syndromes have been proved in numerous studies, its position in the treatment of stable angina remains a controversial issue. The results of the recent studies did not lead into definite answers for the proper treatment of chronic coronary artery disease. The identification of the patients that will benefit from the interventional approach is necessary and is probably based on the proper screening for myocardial ischemia with noninvasive diagnostic techniques. In this review article, we mention the most recent studies for the treatment of chronic stable angina with respect to clinical outcome and economical consequences.
虽然经皮冠状动脉介入治疗在急性冠状动脉综合征中的治疗优势已在众多研究中得到证实,但在稳定型心绞痛的治疗中的地位仍是一个有争议的问题。最近的研究结果并未为慢性冠状动脉疾病的适当治疗提供明确答案。有必要确定哪些患者将从介入治疗中受益,而这可能是基于使用无创诊断技术对心肌缺血进行适当筛查。在这篇综述文章中,我们提到了最近关于慢性稳定型心绞痛的治疗的研究,包括临床结果和经济后果。