ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ CAN THIỆP ĐỘNG MẠCH VÀNH QUA DA TRÊN BỆNH NHÂN BỆNH NHIỀU NHÁNH ĐỘNG MẠCH VÀNH TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: the rate of multivessel coronary artery disease is remarkably high. Objectives: to investigate the clinical, laboratory characteristics, several risk factors and the results of percutaneous coronary intervention in patients with multivessel coronary artery disease. Materials and method: patients with multiple coronary artery disease treated by percutaneous coronary intervention in multiple coronary artery at Can Tho Central General Hospital from 04/2020 to 12/2020. Results: the leading cardiovascular risk factor was hypertension with 82%, followed by diabetes at 24%. Typical angina pectoris accounted for 74%, acute myocardial infarction saw the highest percentage at 84% among all types of multivessel coronary artery disease and Killip I was 85.7%. Most electrocardiograms showed signs of myocardial ischemia or infarction, at 86%. Echocardiography recorded intermediate to preserved ejection fractions in 82% of the cases, the most common regional movement disorder was reduced mobility with 76%. Average gensini score was 60.61±27.51. Intervention technique: incandescent combined with stenting accounted for the highest percentage, at 76%, all using drug-eluting stents, the average number of stents were 1.86±0.93. The success rate of the procedures and coronary angiography was 100%, no Major Adverse Cardiovascular Events have been recorded in hospital, the average time of hospitalization was 10.48±3.86 days. Conclusion: the leading common risk factor for coronary artery disease is hypertension, the majority of patients with typical coronary chest pain, the most common clinical form is acute myocardial infarction, percutaneous coronary intervention for multiple coronary artery disease is a safe treatment.