冠状动脉支架术后的胸部不适与再狭窄  

Chest pain after coronary artery stent implantation

作　　者：宋丽萍[1] 周玉杰[2] 李江虹[1] 张伶[1] 黄慧贤[1] 卢清玉[1] 

机构地区：[1]北京海淀医院心内科,北京100080 [2]首都医科大学附属安贞医院老年心内科

出　　处：《临床心血管病杂志》2003年第11期666-667,共2页Journal of Clinical Cardiology

摘　　要：目的 :了解冠状动脉支架术后胸部不适与再狭窄关系。方法 :选择接受冠状动脉支架术并在 6个月内进行了冠状动脉造影检查的 186例患者 ,对术后胸部不适和无胸部不适患者进行冠心病易患因素和术后再狭窄比较。结果 :胸部不适和无胸部不适者术后支架内再狭窄的百分率分别为 2 1.4 %和 15 .2 % ,两组的再狭窄率差异无显著性意义。结论 :冠状动脉支架术后的胸部不适除与再狭窄有关外 ,可能与血管内皮功能紊乱及血管的反应性有关。Objective:To investgate the relation between chest pain and coronary stent restenosis.Methods:The 186 patients underwent successful stent implantation and coronary angiography within six months. They are divided into group with chest pain and group without chest pain. There is no significant differerce in restenosis between two groups. Results:The 21.4% patients in chest pain group developed in-stent restenosis, 15.2% patients without chest pain developed in-stent restenosis. There is no significant difference in-stent restenosis between two groups. Conclusion:Chest pain after stent implantation appears to be associated with intense endothelial dysfunction and coronary vasoreactivity.

关 键 词：冠状动脉疾病 支架术 再狭窄 

分 类 号：R543.3[医药卫生—心血管疾病]