Tourreille J, Virot P, Doumeix J J, Chabanier A, Tardieu A, Blanc P, Bensaid J
Ann Cardiol Angeiol (Paris). 1985 Jul-Sep;34(7):475-8.
100 patients over the age of 70 years underwent coronary angiography. The indications for this examination at this age were different from those in younger patients. After the age of 70 years, 58 per cent of coronary angiographies are performed as part of the haemodynamic survey of valvular disease. The risk of the examination appears to be higher, as two deaths occurred in this small series, while the mortality is estimated to be 2 per thousand in younger patients. Coronary angiography is very useful at this age in patients with valvular disease to determine the need for an associated coronary graft and also to determine contraindications for operation because of the severity of the lesions. A surgical indication was confirmed in 50 patients, but surgery was only performed in 36 of them. The follow-up of these patients demonstrates that patients operated for valvular disease had a longer survival that those considered to be inoperable or who refused operation. On the other hand, there was no difference in survival between grafted and non-operated patients over the age of 70 years.
100名70岁以上的患者接受了冠状动脉造影检查。这个年龄段进行此项检查的指征与年轻患者不同。70岁以后，58%的冠状动脉造影检查是作为瓣膜病血流动力学评估的一部分进行的。该项检查的风险似乎更高，因为在这个小样本系列中有两例死亡，而年轻患者的死亡率估计为千分之二。对于患有瓣膜病的患者，冠状动脉造影在这个年龄段对于确定是否需要进行相关的冠状动脉移植以及因病变严重程度确定手术禁忌症非常有用。50名患者被确认有手术指征，但其中只有36名患者接受了手术。对这些患者的随访表明，接受瓣膜病手术的患者比那些被认为无法手术或拒绝手术的患者存活时间更长。另一方面，70岁以上接受移植手术和未接受手术的患者在生存率上没有差异。
