经皮冠状动脉介入治疗以晕厥为主要症状的14例冠心病患者疗效观察  

Investigation of the therapeutic effect of percutaneous coronary intervention in 14 patients with coronary heart disease based on syncope symptom

作　　者：赵建祥[1] 石桂良[1] 邓新桃[1] 郑金国[2] 

机构地区：[1]扬州大学医学院附属兴化市人民医院心内科,江苏扬州225700 [2]扬州大学医学院附属兴化市人民医院ICU,江苏扬州225700

出　　处：《江苏实用心电学杂志》2012年第2期88-90,共3页Journal of Practical Electrocardiology JS

摘　　要：目的探讨以晕厥为主要症状的冠心病介入治疗(PCI)的疗效。方法选择合适条件的患者行PCI治疗并随访观察。结果 14例患者造影结果显示有冠脉病变,植入支架治疗后随访:1例猝死,1例死于心肌梗死,1例再发行植入心律转复除颤器(ICD)治疗,2例三度房室传导阻滞植入永久起搏器,其余患者治疗效果满意。结论发作性晕厥患者伴有冠心病易患因素者,应警惕冠状动脉病变,尽早行冠状动脉造影,如发现冠状动脉病变,采取PCI术解除狭窄,对防治冠心病猝死有着重要的临床意义。Objective To investigate the therapeutic effect of patients with coronary heart dis- ease （CHD）, which is characterized by syncope, accepting percutaneous coronary intervention （PCI）. Methods Enrolled patients with right conditions and treated by PCI and a follow-up observation was taken. Results Fourteen patients with coronary artery affection were found, follow-up observation was taken after stent implanting. The result indicated one case of sudden death, one case died of remyocardial infarction, one case accepted re-issue implantable cardioverter defibrillator （ICD） therapy, two cases of third degree atrioventricular block accepted of a permanent pacemaker implanting, and the remaining pa- tients with satisfactory result. Conclusion The onset of syncope associated with risk factors of coronary heart disease, should be wary of coronary artery disease, early coronary angiography to find coronary ar- tery disease, and operating the PCI, have important clinical significance for preventing sudden death of coronary heart disease.

关 键 词：经皮冠状动脉介入治疗 晕厥 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]