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[老年急性心肌梗死患者的冠状动脉支架置入术(综述)]

[Coronary stenting in elderly patients with acute myocardial infarction (review)].

作者信息

Bogomolov A N, Kozlov K L, Kurochkina O N, Olesiuk I B

出版信息

Adv Gerontol. 2013;26(1):151-60.

Abstract

Cardiovascular disease and coronary heart disease are now the leading causes of death and disability in elderly and senile age. Patients with acute coronary syndrome (ACS) and myocardial-infarction (MI) constitute a large portion of emergency hospital admissions among patients with cardiovascular diseases. According to numerous studies, the coronary artery stenting in MI is an effective procedure for the superior results of all the hither to known methods of treatment of ACS. However, the role of endovascular treatment in the acute period of MI in Russia remains underestimated due to lack of awareness of cardiologists and specialists in primary care on this issue. Review of leading Russian and foreign advice and articles on the algorithm of patient care in elderly with ACS and systematization of the information can objectively evaluate the benefits of interventional procedures in the shortest time in AMI.

摘要

心血管疾病和冠心病如今是老年人和高龄老人死亡和残疾的主要原因。急性冠状动脉综合征(ACS)和心肌梗死(MI)患者占心血管疾病患者急诊住院人数的很大一部分。根据大量研究,心肌梗死中的冠状动脉支架置入术是一种有效的治疗方法,其效果优于此前已知的所有急性冠状动脉综合征治疗方法。然而,在俄罗斯,由于心脏病专家和初级保健专家对这一问题缺乏认识,血管内治疗在心肌梗死急性期的作用仍然被低估。回顾俄罗斯和国外关于老年急性冠状动脉综合征患者护理算法的主要建议和文章,并对信息进行系统化整理,可以在最短时间内客观评估急性心肌梗死介入治疗的益处。

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