摘要
目的 探讨高龄急性心肌梗死患者接受急诊经皮冠状动脉介入治疗 (PCI)的临床价值。方法 对 4 0例 75岁以上高龄急性心肌梗死患者 ,在发病 12h内对梗死相关动脉 (IRA)行急诊PCI治疗。结果 4 0例患者梗死相关动脉共置入冠状动脉内支架 39枚 ,手术成功率 92 .5 % ,围手术期死亡 2例 (5 % ) ,其中脑出血 1例 ,心室颤动 1例。结论 高龄急性心肌梗死患者急诊PCI治疗安全、有效。
Objective To evaluate the clinical significance of emergency percutaneous coronary intervention (PCI) for elderly patients with acute myocardial infarction (AMI).Methods Patients aged 75 years or more who underwent PCI were recruited. Clinical and angiographic data were reviewed.Results A total of 40 patients underwent such procedures.PCI was successful in 37 patients (92.5%).Two patients (5%) died during hospitalization,of whom one (2.5%) died of cerebral hemorrhage and another (2.5%) died of ventricular fibrillation.Conclusion Emergency percutaneous coronary intervention was an effective and safe method for the elderly patients with acute myocardial infarction.
出处
《中华老年心脑血管病杂志》
CAS
2004年第2期99-100,共2页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
心肌梗塞
血管形成术
经腔
经皮冠状动脉
支架
myocardial infarction
angioplasty,tnansluminal,percutaneous coronary
stents
