Danchin N, Brengard A, Ethévenot G, Briançon S, Cuillière M, Mathieu P, Gilgenkrantz J M, Pernot C, Cherrier F
Arch Mal Coeur Vaiss. 1986 Nov;79(12):1712-7.
Between April 1972 and March 1976, 70 patients were found to have an isolated stenosis of the left anterior descending artery at coronary angiography which could have been treated by coronary angioplasty, had the technique been available at that time. A questionnaire was sent to these patients and 65 (93 p. 100) replies were received 9 to 13 years after initial coronary angiography. They provided information about 61 men and 4 women with an average age of 48.1 +/- 8.4 years. Thirty eight patients had undergone surgery and 27 were treated medically, each group having distinct clinical characteristics. The 10 year survival rate was excellent (91 p. 100) and was high in both groups. The quality of life was good: 56 p. 100 claimed to be in good or very good health and 67 p. 100 were improved with respect to their functional state at the time of coronary angiography; only one quarter of these patients had been readmitted to hospital for cardiac problems during the follow up period, and 76 p. 100 of patients in work before the coronary angiography had returned to work. This date illustrates the excellent results of classical medical and surgical management of potential candidates for coronary angioplasty for isolated left anterior descending artery stenosis.
1972年4月至1976年3月期间，70例患者在冠状动脉造影时被发现存在孤立的左前降支狭窄，若当时已有冠状动脉成形术这项技术，这些狭窄本可通过该技术进行治疗。向这些患者发送了一份调查问卷，在初次冠状动脉造影9至13年后收到了65份（93%）回复。回复者提供了61名男性和4名女性的信息，平均年龄为48.1±8.4岁。38例患者接受了手术治疗，27例接受了药物治疗，每组具有不同的临床特征。10年生存率很高（91%），两组均如此。生活质量良好：56%的人称健康状况良好或非常好，67%的人在冠状动脉造影时的功能状态有所改善；在随访期间，这些患者中只有四分之一因心脏问题再次入院，冠状动脉造影前工作的患者中有76%已恢复工作。这些数据表明，对于孤立性左前降支狭窄的冠状动脉成形术潜在候选者，传统药物和手术治疗取得了优异的效果。
