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冠心病是充血性心力衰竭的最常见病因。无瓣膜性病变的冠心病患者中,心力衰竭最常见由左心室收缩功能下降(左心室射血分数下降)导致,伴有左心室射血分数下降的冠心病患者预后不良。目前认为血运重建可以改善左心室射血分数下降的冠心病患者的预后,同时左心室射血分数下降患者血运重建风险高。现对左心室功能障碍的冠心病患者的血运重建治疗作一综述。
Coronary heart disease is the most common cause of congestive heart failure. Heart failure patients without valvular heart disease, heart failure, the most common loss of left ventricular systolic function (decreased left ventricular ejection fraction), accompanied by decreased left ventricular ejection fraction coronary heart disease patients with poor prognosis. Now that revascularization can improve the prognosis of patients with coronary heart disease with decreased left ventricular ejection fraction, and patients with decreased left ventricular ejection fraction at high risk of revascularization. Now the treatment of left ventricular dysfunction in patients with coronary heart disease are reviewed.