在中度至重度冠状动脉化患者中,皮肤冠状动脉干预程序失败的风险概况和预后影响
Zhangyu Lin1,2,3, Zhihao Zheng1,2,3, Min Yang1,2
1Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
概括
在中度至重度冠状动脉化 (MSCAC) 患者中,穿皮冠状动脉干预 (PCI) 失败导致心血管结果更差. 血管内超声波和旋转性心脏切除术可以降低这些患者的PCI失败风险.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 干预心脏病学 干预心脏病学
背景情况:
- 动脉化是血管衰老的一个关键指标.
- 在中度至重度冠状动脉化 (MSCAC) 患者中,PCI失败的风险因素和结果需要进一步调查.
研究的目的:
- 分析经历PCI程序失败的MSCAC患者的特征,风险因素和长期临床结果.
主要方法:
- 分析了26253名接受PCI的患者队列.
- 程序失败的定义是残留狭窄≥50%,严重并发症或住院死亡/心肌梗塞 (MI).
- 主要终点是3年的中位数随访期间发生的重大心血管不良事件 (MACE).
主要成果:
- 在MSCAC患者中,PCI程序失败发生在10.96%的患者中.
- 与非MSCAC患者相比,PCI失败的MSCAC患者的MACE风险增加了2.38倍.
- 血管内超声波 (IVUS) 和旋转性心脏切除术对MSCAC-PCI失败有保护作用.
结论:
- 患有PCI失败的MSCAC患者面临较差的长期临床结果.
- IVUS和旋转性心脏切除术与严重化的PCI程序失败的风险降低有关.
相关概念视频
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
362
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
362
Cardiac Catheterization I: Pre-Procedure Overview
978
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
978
Coronary Artery Disease V: Interprofessional Care
203
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
203
Peripheral Artery Disease III: Interprofessional Care
217
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
217
Coronary Artery Disease I: Introduction
846
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
846
Acute Coronary Syndrome IV: Interprofessional Care
197
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
197


