Clinical analysis of the young patients with high-risk of unstable angina who had undergone the primary interventional therapy

Objective:To analysis the short-term and the long-term therapic effects on young patients with high-risk of unstable angina who had undergone the primary interventional therapy.Method:Twenty-five young patients with high risk of unstable angina(TIMI harzard stratification ≥3) were divided into two groups with primary interventional therapy(n=14) and delayed interventional therapy(n=11).The lesion of coronary artery,thrombus budren and arrhythmia were observed respectively.The incidence rate of cardiacvascular events(include angina,AMI,sudden death,interventional therapy again and coronary artery bypass graft) in the thirty days and the length of stay were recorded.Result:The lesion of coronary artery and the state of interventional therapy in the two groups are similar,the thrombus burden in the group with the primary interventional therapy is relatively more than the group with delayed interventional therapy.Compared to the group with delayed interventional therapy,The incidence rate of angina in the thirty days and the length of symptomatic relief and stay in the group with the primary interventional therapy were shorter(P0.05).Conclusion:We should evaluate the risk factors and choose the optimal individualized strategy in the young patients with unstable angina according to the risk stratification.The primary interventional therapy is the first chosen to the patients with middle and high-risk of unstable angina.