不稳定性心绞痛病人的介入治疗及随访

目的　观察 18例不稳定性心绞痛病人的经皮冠状动脉内成形术 (PTCA)后的即刻疗效及随访结果。方法　 18例不稳定心绞痛病人中 15例内科药物治疗平稳后二周行冠脉造影及PTCA ,3例因内科药物治疗效果不佳而行紧急的PTCA。成功 17例 ;病变共 33处 ,2 3处被治疗 ,置入支架 18支。结果　术后所有病人心绞痛症状缓解。术后随访平均 9个月 ,病人心功能 ,运动耐量 ,心律失常等均有明显改善。 14例病人心绞痛症状基本消失。 3例病人有心绞痛发作 ,但药物可以控制。 1例病人前降支完全闭塞导丝未能通过病变处而失败。 17例中无一例发生心肌梗塞或猝死。结论　不稳定心绞痛病人尽早进行冠脉造影及PTCA治疗是有必要的 ,成功率是高的

Effects of percutaneous transluminal coronary angioplasty in unstable angina pectoris

Objective To evaluate the effects of percutaneous transluminal coronary angioplasty (PTCA) and intra coronary stents in unstable angina pectoris Methods PTCA was performed in 18 unstable angina pectoris patients with 23 lesions, eighteen coronary stents were implanted, 3 patients were undergone emergent PTCA because of the uncontroled angina Results After an average nine months of follow up, the average angina class was significantly improved with increase in exercise tolerance, functional improvement and arrhythemia relieved No acute myocardial infarction and sudden death was occured Conclusion The result suggest that interventional therapy is essential and safe for unstable angina pectoris