中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2014年
6期
427-430
,共4页
王斌%韩雅玲%张剑%荆全民%王效增%马颖艳%王耿%刘海伟%赵昕%徐凯%邓捷%关绍义
王斌%韓雅玲%張劍%荊全民%王效增%馬穎豔%王耿%劉海偉%趙昕%徐凱%鄧捷%關紹義
왕빈%한아령%장검%형전민%왕효증%마영염%왕경%류해위%조흔%서개%산첩%관소의
平板运动试验%冠状动脉造影%前降支%冠状动脉临界病变
平闆運動試驗%冠狀動脈造影%前降支%冠狀動脈臨界病變
평판운동시험%관상동맥조영%전강지%관상동맥림계병변
treadmill exercise test%coronary angiography%left anterior descending artery%coronary intermediate lesions
目的：探讨平板运动试验在治疗冠状动脉前降支（LAD）近中段临界病变过程中的指导意义。方法选择2012年6月至2014年3月在沈阳军区总医院心血管内科住院患者中，冠状动脉造影提示仅LAD近中段存在临界狭窄（直径狭窄30%～70%）病变、其他冠状动脉无明显狭窄的冠心病患者8例，男6例（75%），女2例（25%），年龄44～68（54.88±8.95）岁。入院后3d内行冠状动脉造影检查，若发现仅LAD近中段存在临界病变，则造影术后行平板运动试验。若平板运动试验阳性，则对前降支病变进行介入干预；若平板运动试验阴性，则药物保守治疗。结果冠状动脉造影直径狭窄程度为30%～70%，平板运动试验阳性者2例，均实施介入治疗，阴性者6例，均采取药物保守治疗。所有患者均进行临床随访，随访时间为1个月～1年。接受介入治疗的2例患者未再出现胸痛等不适症状。接受药物保守治疗的患者胸痛症状亦得到缓解，无严重心脏不良事件发生。结论平板运动试验在指导LAD近中段临界病变治疗过程中有重要作用。
目的：探討平闆運動試驗在治療冠狀動脈前降支（LAD）近中段臨界病變過程中的指導意義。方法選擇2012年6月至2014年3月在瀋暘軍區總醫院心血管內科住院患者中，冠狀動脈造影提示僅LAD近中段存在臨界狹窄（直徑狹窄30%～70%）病變、其他冠狀動脈無明顯狹窄的冠心病患者8例，男6例（75%），女2例（25%），年齡44～68（54.88±8.95）歲。入院後3d內行冠狀動脈造影檢查，若髮現僅LAD近中段存在臨界病變，則造影術後行平闆運動試驗。若平闆運動試驗暘性，則對前降支病變進行介入榦預；若平闆運動試驗陰性，則藥物保守治療。結果冠狀動脈造影直徑狹窄程度為30%～70%，平闆運動試驗暘性者2例，均實施介入治療，陰性者6例，均採取藥物保守治療。所有患者均進行臨床隨訪，隨訪時間為1箇月～1年。接受介入治療的2例患者未再齣現胸痛等不適癥狀。接受藥物保守治療的患者胸痛癥狀亦得到緩解，無嚴重心髒不良事件髮生。結論平闆運動試驗在指導LAD近中段臨界病變治療過程中有重要作用。
목적：탐토평판운동시험재치료관상동맥전강지（LAD）근중단림계병변과정중적지도의의。방법선택2012년6월지2014년3월재침양군구총의원심혈관내과주원환자중，관상동맥조영제시부LAD근중단존재림계협착（직경협착30%～70%）병변、기타관상동맥무명현협착적관심병환자8례，남6례（75%），녀2례（25%），년령44～68（54.88±8.95）세。입원후3d내행관상동맥조영검사，약발현부LAD근중단존재림계병변，칙조영술후행평판운동시험。약평판운동시험양성，칙대전강지병변진행개입간예；약평판운동시험음성，칙약물보수치료。결과관상동맥조영직경협착정도위30%～70%，평판운동시험양성자2례，균실시개입치료，음성자6례，균채취약물보수치료。소유환자균진행림상수방，수방시간위1개월～1년。접수개입치료적2례환자미재출현흉통등불괄증상。접수약물보수치료적환자흉통증상역득도완해，무엄중심장불량사건발생。결론평판운동시험재지도LAD근중단림계병변치료과정중유중요작용。
Objective To determine the guiding value of treadmill exercise test (TET) in the treatment of coronary intermediate lesions in proximal or middle left anterior descending artery (LAD). Methods Eight coronary heart disease patients with moderate coronary artery stenosis (diameter stenosis 30%-70%) in proximal or middle LAD and without obvious lesions in other coronary arteries admitted in our department from June 2012 to March 2014 were enrolled in this study. The patients were 6 males (75%) and 2 females (25%), at an age of (54.88±8.95) (ranging from 44 to 68) years. Coronary angiography was carried out on the patients within 3d after admission. TET would be done if the patient was found to have coronary intermediate lesions only in the proximal or middle LAD. The patient would be treated with intervention if the positive result was found in TET. Otherwise the patient would be treated with the optimal drug strategy. Results Among the patients with the diameter stenosis of 30%-70%, TET was positive in 2 patients who were treated with intervention. The 6 patients negative to TET were treated with the optimal drug strategy. During the follow-up of 1 month to 1 year, the 2 patients accepting intervention had no any discomfort such as chest pain, and the 6 patients with drug treatment also felt well and reported no serious adverse cardiac event. Conclusion TET plays an important role in guiding the treatment of coronary intermediate lesions in proximal and middle LAD.
