左心室功能不全患者冠状动脉血运重建策略
沈迎,张奇,张瑞岩,沈卫峰
摘要(Abstract):
<正>在发达国家,新诊断的心力衰竭患者逐年增加。其中,左心室功能[左心室射血分数(LVEF)]正常或减低者各占一半[1]。随着我国经济飞速发展,社会老龄化逐渐形成,冠状动脉粥样硬化性心脏病(冠心病)发生率呈明显增高趋势。冠状动脉血运重建技术[包括经皮冠状动脉介入治疗(PCI)和冠状动脉旁路移植术(CABG)]的改进和新药物的临床应用,使许多高危复杂冠心病患者的急性期死亡率显著降低,但仍有相当比例患者残留左心室功能不全,甚至发展成严重的心力衰竭。不仅明显增加冠心病合并左心室功能不全患者的绝对数量,也影响着冠心病患者
关键词(KeyWords): 左心室功能;左心室射血分数;血运重建;冠心病
基金项目(Foundation):
作者(Author): 沈迎,张奇,张瑞岩,沈卫峰
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