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目的探讨严重冠脉病变的老年女性患者在冠脉支架植入术后1周内心绞痛发作次数、1年内再住院次数、心电图ST段演变及动态心电图心律失常的发生情况。方法选择60例老年女性严重冠脉病变并成功行冠脉支架植入术的患者,分析其手术前后的临床症状、1年内再住院率、心电图演变及心律失常的发生情况。结果术后患者1周内心绞痛发作次数、1年内因冠脉原因再住院率,心绞痛发作时ST段压低幅度,心律失常发生率均明显低于手术前(p<0.01)。结论对于高危老年女性冠心病患者,积极的手术治疗对改善患者的预后具有重要的意义,动态心电图可作为评估术后患者预后的一种常规、无创的检查方法 。
Objective To investigate the incidence of angina pectoris, rehospitalization within 1 year, ST segment of ECG and arrhythmia of ambulatory electrocardiogram within one week after coronary stent implantation in elderly women with severe coronary artery disease. Methods Sixty elder women with severe coronary artery disease were selected and successfully treated with coronary stent implantation. The clinical symptoms, the rate of rehospitalization within one year, the evolution of electrocardiogram and the incidence of arrhythmia were analyzed. Results The number of angina attacks within one week, the rate of rehospitalization due to coronary artery within one year, the depression of ST segment during angina pectoris and the incidence of arrhythmia were significantly lower than those before operation (p <0.01). Conclusions Positive surgical treatment is of great significance to improve the prognosis of high-risk elderly women with coronary heart disease. Holter monitoring can be used as a routine and noninvasive method to assess the prognosis of postoperative patients.