Keywords: percutaneous coronary intervention
Accept the the cardiovascular interventional treatment, the age of coronary heart disease in patients under the age of 40 living conditions? Recently, the research team of the Chinese Academy of Medical Sciences Fuwai Hospital this analysis. They believe that the young coronary artery disease patients undergoing interventional treatment of the long-term prognosis is good, and 10-year survival rate of 94.2%.
The incidence of coronary heart disease in young people is on the increase in recent years. The experts pointed out that young patients with coronary heart disease has its own characteristics, if there is a history of smoking, a higher proportion of short duration, coronary artery disease and single vessel disease, mainly. The treatment of these patients received the intervention prognostic factors is unclear how.
Hospital coronary heart disease Laboratory and Epidemiology Research Office, 1986-2001 at the The hospital successfully accepted 214 cases of percutaneous transluminal coronary angioplasty or stenting age in patients 40 years of age for the study, and long-term follow-up of 199 patients, the follow-up rate of 93%, more than 15 years, the longest follow-up. A total of 4 patients died during follow-up, five cases of nonfatal myocardial infarction, 3 patients who underwent coronary artery bypass surgery, again accepted interventional treatment in 29 cases, 53 cases of recurrent angina. These patients after 10 years the survival rate was 94.2%, similar to the report of the foreign scholars. Which no cardiac events (including death, nonfatal myocardial infarction, repeat intervention or coronary artery bypass) patients with 1-year survival rate was 88.5%, and 60.7% in 10 years. Univariate analysis results show that the residual coronary stenosis and cardiac events were positively correlated, in patients with a history of diabetes and multivessel cardiovascular disease and angina recurrence was positively correlated; multivariate analysis results show that stenting cardiac events independent predictors . “
Based on these findings, the hospital experts pointed out, the the interventional treatment process should minimize residual stenosis stenting is effective measures to reduce the residual stenosis. Interventional treatment can only mechanical lifting of coronary stenosis, can not prevent the further development of lesions. Therefore, actively intervene after the interventional treatment of risk factors (hypertension, hyperlipidemia, diabetes, smoking, etc.) can be controlled, is of great significance to improve the survival rate of young patients with coronary heart disease and improve their quality of life.