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不稳定型心绞痛。急性血运重建方案的经验。

Unstable angina pectoris. Experience with an acute revascularization program.

作者信息

Riddervold F, Smiseth O A, Forfang K, Frøysaker T

机构信息

Medical Department B, National Hospital of Norway (Rikshospitalet), University of Oslo.

出版信息

Acta Med Scand. 1988;224(1):19-23.

PMID:2970766
Abstract

One year's experience of an acute revascularization program for unstable angina pectoris is presented. In the total material of 63 patients, significant coronary artery stenosis was found in 61 and normal coronary arteries in two. Coronary artery bypass grafting was performed in 39 patients (62%) and percutaneous transluminal angioplasty in nine (14%). There were two perioperative myocardial infarctions and one hospital death. Thirteen patients were not eligible for revascularization. At follow-up (14-26 months) 60 patients were still alive (95%). In the revascularization group, one patient had died, but of the remaining 46 patients, 30 (65%) were free of angina pectoris, and in addition six had only minor symptoms.

摘要

本文介绍了一项针对不稳定型心绞痛的急性血运重建计划的一年经验。在总共63例患者中,61例发现有明显的冠状动脉狭窄,2例冠状动脉正常。39例患者(62%)接受了冠状动脉旁路移植术,9例(14%)接受了经皮腔内血管成形术。围手术期发生2例心肌梗死,1例住院死亡。13例患者不符合血运重建条件。随访(14 - 26个月)时,60例患者仍存活(95%)。在血运重建组中,1例患者死亡,但其余46例患者中,30例(65%)无心绞痛发作,另外6例仅有轻微症状。

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Acta Med Scand. 1988;224(1):19-23.
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