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目的评价经皮冠状动脉介入治疗(PCI)对老年缺血性心肌病心功能不全的近期疗效及远期预后的影响。方法患者分为两组。一组行PCI加适当药物治疗;另一组单纯药物保守治疗。对比观察近期临床效果及长期随访以了解远期预后的不同。结果PCI组近期症状体征改善、左室射血分数提高,1年、2年因心功能不全及严重心肌缺血再次入院治疗人次及4年、8年随访心源性死亡率各方面与单纯药物治疗组有较显著差异。结论PCI在老年缺血性心肌病所致心功能不全的治疗方面具有积极意义,尤其对改善远期预后有一定价值。
Objective To evaluate the effect of percutaneous coronary intervention (PCI) on short-term efficacy and long-term prognosis of elderly patients with ischemic cardiomyopathy and heart failure. Methods Patients were divided into two groups. A group of PCI plus appropriate drug treatment; another group of simple drug conservative treatment. Compare the short-term clinical effects and long-term follow-up to understand the different long-term prognosis. Results The symptoms and signs of the PCI group were improved, the left ventricular ejection fraction (LVEF) increased, and the patients were admitted to hospital for 1 year and 2 years due to cardiac insufficiency and severe myocardial ischemia. Cardiopulmonary mortality at 4 years and 8 years was significantly higher than that of the simple drug The treatment group has more significant differences. Conclusion PCI is of positive significance in the treatment of heart failure caused by ischemic cardiomyopathy in elderly patients, especially for improving long-term prognosis.