Đặc điểm lâm sàng, cận lâm sàng của bệnh nhân hẹp 3 thân động mạch vành mạn tính

Abstract

Objective: The aim of this study was to describe baseline clinical and paraclinical features in a group of patients with stable three-vessel coronary artery disease patients with Syntax score ≤ 22 underwent PCI. Subject and method: We assigned 177 patients with stable three-vessel disease to undergo PCI in Tam Duc Hospital from 01/2017-10/2020. The disease was defined when ≥ 70% stenosis was present in each major epicardial coronary artery. The cross-sectional descriptive and prospective study, documented clinical sign, paraclinical sign and coronary risk factors. Result: The study included 177 patients, mean age 65.94 ± 10.85 years and male 67.2%. Mean BMI 23.85 ± 2.97. The coronary risk factors observed were hypertension (89.8%), dyslipidemia (88.1%), diabetes (44.1%), smoking (14.1%), family history (11.3%). High prevalence typical chest pain CCS II, CCS III, ST-T change on ECG: 19.2%. Preserved EF ≥ 50%: 81.4%. Non-invasive stratification test: Intermediate risk 21.5%, high risk: 78.5%. The mean Syntax score was in 15.84 ± 3.85 (7 - 22), and  high prevalence lesion was in LAD: 98.9%, LCX: 99.4%,  RCA: 100%, the prevalence of left main coronary heart disease was 14.8%. No significant between complete and incomplete revascularization group. Conclusion: The most common coronary risk factors observed were hypertension, dyslipidemia. The most common symtoms is CCS II and CCS III. Low rate of ST-T change on ECG. High rate of preserved LVEF ≥ 50%. High prevalence high risk Non-invasive stratification test. The mean Syntax score was in 15.84 ± 3.85 (7 - 22), and the prevalence of left main coronary heart disease was low.