重庆医学2018，Vol.47Issue(1)：7-10,4.DOI:10.3969/j.issn.1671-8348.2018.01.003
经皮冠状动脉介入血运重建程度对多支病变的冠状动脉粥样硬化性心脏病患者运动耐量的影响
Effect of PCI revascularization degree on exercise tolerance in patients with multivessel coronary artery disease
王岚 1郭丹杰 1李琪 1薛霖 1牛亚芊芊 1张天宏 1郭琳1
作者信息
- 1. 北京大学人民医院心血管内科/急性心肌梗死早期预警和干预北京市重点实验室/北京大学人民医院心血管转化医学研究中心,北京100044
- 折叠
摘要
Abstract
Objective To explore the effect of percutaneous coronary intervention(PCI) revascularization degree on exercise tolerance in the patients with multivessel coronary heart disease(CHD).Methods Ninety-three cases of coronary multivessel disease undergoing PCI revascularization and completing the cardiopulmonary exercise testing(CPET) were selected and divided into the complete revascularization group(CR group) and incomplete revascularization group(ICR group).The patients' general condition,co-existence diseases,medication,CHD and vessel lesion situation,echocardiography and CPET results at revascularization and within 1 week of CPET in the two groups were collected.Then the exercise tolerance was evaluated and compared between the two groups.Results The peak metabolic equivalent in the CR group and ICR group were 6.1(3.0-11.0) Mets and 6.3 (3.0-9.0) Mets;the VO2 at anaerobic threshold were 16.3(4.0-23.0) mL · kg-1 · min-1 and 15.9(4.0-26.0) mL · kg-1 · min-1,respectively;the peak VO2 were 21.1(13.0-35.0) mL · kg-1 · min-1 and 21.9(13.0-31.0) mL · kg-1 · min-1,respectively(P=0.919,0.350,0.991).Conclusion For the patients with multivessel CHD receiving ICR,their exercise tolerance is not inferior to those receiving CR.关键词
冠心病/多支病变/完全性血运重建/不完全性血运重建/运动耐量Key words
coronary disease/multivessel disease/complete revascularization/incomplete revascularization/cardiopulmonary exercise testing/exercise tolerance分类
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王岚,郭丹杰,李琪,薛霖,牛亚芊芊,张天宏,郭琳..经皮冠状动脉介入血运重建程度对多支病变的冠状动脉粥样硬化性心脏病患者运动耐量的影响[J].重庆医学,2018,47(1):7-10,4.
