矫正型大动脉转位一例

患者女,40 岁,因妇科子宫肌瘤入院治疗,入院后手术前常规检查心电图.患者述近1 年来时有心悸、气短、乏力,既往体健无不适.查体:二尖瓣听诊区可闻及Ⅲ～Ⅳ/6 级收缩期杂音.心电图检查(图1):窦性心律,Ⅰ度房室传导阻滞,异常Q 波(Ⅲ、avF、V1),不完全性左束支传导阻滞,间歇性预激综合征(A 型).

Clinical follow-up of patients with premature coronary artery disease undergoing intervention with drug-eluting stents

Objective To investigate the clinical characteristics,short-term outcomes in patients with premature coronary disease （PCAD） undergoing coronary intervention with drug-eluting stents （DESs）. Methods The baseline clinical and coronary angiographic data of 517 patients （female 65 years,male55 years） undergoing coronary angiography （CAG） were collected and analyzed. Patients were divided into PCAD group （n=290） and non-CAD group （n=227）. 180 patients with PCAD implanted with DESs （sirolimus-eluting stents or paclitaxel-eluting stents） were assessed for the single and cumulative incidence of major adverse cardiac events （MACEs） during half-year follow-up. Results Patients with PCAD had significantly higher rate of male,hypertension,diabetic mellitus,smoking,drinking and obesity,higher levels of TC,LDL-C,apo B and Lp （a） than that in non-CAD group （all P0.05）. There is higher ratio of diabetic mellitus in the multiple branch lesions group than in single branch lesion group （P0.01）. Both patients implanted with DESs in multiple branch lesions group and single branch lesion group had similar half-year prognosis （P0.05）. Conclusions Patients with PCAD had more cardiovascular risk factors and better half-year prognosis after implanted with DESs.