摘要
Abstract
OBJECTIVE: To summarize the therapeutic effect of coronary stent implantation on elderly patients with coronary heart disease(CHD).METHODS: Ten literatures regarding controlled experiment of treating CHD with coronary stent implantation in elderly patients, writing in Chinese language, published from 1990 to 2008, were selected. The literatures were sorted from experimental grouping, materials, observation methods, results, and conclusions. Simultaneously, the baseline data of subjects in the experiment were analyzed, and the follow up and functional evaluation were included to check the results.RESULTS: The literatures showed that treating CHD with coronary stent implantation in elderly patients was a fast developing and challenging field in interventional cardiology, the therapeutic effect and value of which had been proved by evidence based medicine. However, how to elevate the safety of procedures, increase the successful rate, and prevent restenosis were needed to be exploring in future. The exploration of new drugs, new equipment and inserting technique of scaffold implantation were important to solve the existed problems.CONCLUSION: More elderly patients suffered CHD need treating, but plenty of problems still existed in revascularization,therefore, it is necessary to perform large-scale randomized controlled trials containing different ages and pathologic characters for guiding the clinical practice.关键词
心血管/支架置入/老年/冠状动脉粥样硬化性心脏病分类
临床医学
