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在稳定型冠状动脉疾病(CAD)患者中,与过去相比,在PCI的决定因素中,冠脉损伤对功能的影响要比血管造影所显示的严重程度扮演更重要的角色。相比于使用34年前的Diamond and Forrester Chest Pain Prediction Rule的人群数据,使用更近期的数据得到的验前概率(PTP)得到改变。对那些既有糖尿病又有心血管疾病(CVD)的老年人,血糖控制标准放宽一点有利于提高生活质量。在糖尿病患者中,复杂的多支CAD,CABG是首选,但如果病人更喜欢PCI,应该使用药物洗脱支
In patients with stable coronary artery disease (CAD), coronary artery injury plays a more important role in the determination of PCI than in the past compared to the severity shown by angiography. Compared to the population data using the Diamond and Forrester Chest Pain Prediction Rule 34 years ago, the PTP obtained with the more recent data changed. For those who have both diabetes and cardiovascular disease (CVD) in older people, a more relaxed blood glucose control standards help to improve the quality of life. In diabetic patients, complex multi-CAD, CABG is the preferred, but if patients prefer PCI, should use drug-eluting branches