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Objective To investigate the short and longterm effect of the treatment on acute coronary syndrome(ACS) with percutaneous coronary angioplasty and stenting.Methods 65 patients suffering from ACS were treated with angiography to illuminate the features of lesions and proceeded with percutaneous coronary angioplasty and stenting when the angina was not completed controlled with internal medicine.All patients were treated with a new anti-thrombotic regimen,including aspirin,ticlopidine or clopidogrel, and low-molecular-weight heparin.Results The rates of success for patients and lesions were 96.9% and 82.7% respectively.One patient died without myocardial infarction or emergency bypass surgery.56 patients had no symptom of angina after procedure,and 5 patients had non-typical chest pain which disappeared within 2~3 days.During the 3~54 month follow-up,one patient died,one patient developed myocardial infarction and 4 patients underwent target vessel revascularization(repeated angioplasty 2 and bypass surgery 2).Conclusions With the widespread use of aspirin-ticlopidine-low molecular heparin regimen,ACS patients can undergo PTCA and stenting with high success rate,excellent immediate efficacy and long-term efficacy.
RESUMO
Transvenous permanent cardiac pacing operations of 289 times were performed in 223 consecutive patients with various heart diseases including 121 male and 102 female from June 1982 to May 1992. The cardiac dysrhythmias mainly comprised of Sick Sinus Syndrome (112 cases, 50.2%) and Ⅲ? AVB (88 cases, 39.5%) . 143 patients underwent Adams-Stokes syndrome. The series of cases used various types of pacemakers including VVI, AAI, DDD, SSIR, DDDR and antitachycardia pacemaker. Some malfunctions and complications of cardiac pacing developed in the patients and methods of treatment were introduced.