期刊文献+

单纯左冠状动脉主干病变12例临床分析 被引量:1

分享 导出
摘要 目的:总结单纯左冠状动脉主干(左主干)病变患者的临床特点、治疗及近期预后。方法:经冠状动脉造影或(及)介入治疗术明确为单纯左主干病变的12例患者,回顾性分析患者的住院资料。结果:①12例患者均有不同程度冠心病传统危险因素;②冠状动脉造影证实左主干狭窄〉70%8例,左主干闭塞1例,左主干狭窄50-70%3例;③12例患者心电图Ⅱ、Ⅲ、aVF导联ST段压低8例,aVR、aVL导联ST段均抬高1例,单纯aVR导联ST段抬高2例,QRS间期延长1例,电轴相对左偏4例,V2-4导联ST段压低8例,V2-6导联ST段压低1例(其中左主干闭塞患者Ⅱ、Ⅲ、aVF、V2-4导联ST段压低且合并左前分支阻滞);④12例患者血浆脑钠肽水平明显升高;⑤3例冠状动脉介入治疗术、3例冠状动脉搭桥术均成功实施,12例患者住院期间均无心力衰竭、急性心肌梗死或再发心肌梗死、恶性心律失常(室性心动过速、心室颤动)、猝死或死亡等严重心血管事件发生。结论:单纯左主干病变患者多有≥2个冠心病传统危险因素,心电图改变及血浆脑钠肽水平升高为突出特点,冠状动脉介入治疗术、冠状动脉搭桥术及药物治疗是主要治疗手段,近期预后好。
出处 《临床心血管病杂志》 CSCD 北大核心 2010年第4期317-318,共2页 Journal of Clinical Cardiology
作者简介 通信作者:胡永涛,Email:master060616@163.com
  • 相关文献

参考文献9

二级参考文献187

  • 1赵季红,陈炳伟,姜铁民,李玉明,刘军翔.急性冠状动脉综合征患者血清脑钠肽浓度的变化及临床意义[J].临床心血管病杂志,2007,23(3):182-183. 被引量:17
  • 2Smith SC Jr, Feldman TE, Hirshfeld JW Jr, et al. ACC/AHA/ SCAI 2005 guideline update for percutaneous coronary intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention). J Am Coll Cardiol, 2006 ,47 :e1-121. 被引量:1
  • 3King SB 3rd, Smith SC Jr, Hirshfeld JW Jr, et al. 2007 Focused Update of the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: 2007 Writing Group to Review New Evidence and Update the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention, Writing on Behalf of the 2005 Writing Committee. Circulation, 2008, 117 : 261- 295. 被引量:1
  • 4Silber S, Albertsson P, Aviles FF, et al. Guidelines for percutaneous coronary interventions. The Task Force for Percutaneous Coronary Interventions of the European Society of Cardiology. Eur Heart J,2005, 26:804-847. 被引量:1
  • 5Cutlip DE, Windecker S, Mehran R, et al. Clinical endpoints in coronary stent trials: a case for standardized definitions. Circulation ,2007,115:2344-2351. 被引量:1
  • 6卫生部.心血管疾病介入诊疗技术管理规范.2007-07-13. 被引量:1
  • 7Gao RL, Xu B, Chen JL, et al. Immediate and long-term outcomes of drug-eluting stent implantation for unprotected left main coronary artery disease: comparison with bare-metal stent implantation. Am Heart J,2008,155:553-561. 被引量:1
  • 8Kosuga K, Tamai H, Ueda K, et al. Initial and long-term results of directional coronary atherectomy in unprotected left main coronary artery. Am J Cardiol,2001,87:838-843. 被引量:1
  • 9Parisi AF, Folland ED, Hartigan P. A comparison of angioplasty with medical therapy in the treatment of single-vessel coronary artery disease. Veterans Affairs ACME Investigators. N Engl J Med, 1992,326 : 10-16. 被引量:1
  • 10Davies RF, Goldberg AD, Forman S, et al. Asymptomatic Cardiac Ischemia Pilot (ACIP) study two-year follow-up: outcomes of patients randomized to initial strategies of medical therapy versus revascularization. Circulation, 1997, 95 : 2037- 2043. 被引量:1

共引文献514

同被引文献4

引证文献1

二级引证文献2

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈