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Objective To evaluate acute and long2term angiographic and clinical outcomes of longstent or multiple overlapped stents (length ≥ 20 mm) implantation for diffuse atherosclerosis lesions inoctogenarians. Methods Long stent or multiple overlapped stents implantation was performed on 111diffuse native coronary lesions ( Group O : 47 lesions in 44 octogenarians ; Group Y: 64 lesions in 58 patientsaged under 60) . Baseline demographic , lesion characteristic , angiographic and procedural details weresimilar in these 2 groups. Six2month clinical and angiographic follow2up was completed in all cases. In2hospital and long2term outcomes were evaluated. Results Procedure success was 100 %for both had in2hospital major adverse cardiac events (MACE) . There was no significant difference inangiographic binary restenosis ( ≥50 % diameter stenosis) rate between the groups at follow2up ( Group Ovs. Group Y, 1218 % vs1 1019 % at 32month , 2918 % vs. 2616 % at 62month , P > 0105) . The rates oftarget lesion revascularization and MACE at follow2up were less in Group Y, but it showed no statisticalsignificance (718 % vs. 1016 % and 816 % vs. 1114 % at 32month , 1516 % vs. 2314 % and 2017 % % at 62month , respectively , P > 0105) . Conclusions Long stent implantation for diffuse lesionsin octogenarians appears safe and feasible , with high procedural success and favorable long2term outcomes.

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As is vividly shown in the picture, a patient with a cold is consulting his doctor. To his astonishment, the doctor recommends that he should do a set of physical check-ups. Having realized they are unnecessary, the patient immediately turns down the doctor's disturbing phenomenon has caused wide social concern. There are several underlying causes behind it. Nowadays, people tend to care more about their health and expect a longer life span, thus causing a boom in medical treatment. People are willing to spend more money on health care. Some hospitals take advantage of this and offer patients more unnecessary physical examinations in order to make more my view, it's high time that urgent measures should be taken to improve the present situation. First, doctors should live up to patients' expectations and put saving people's lives above anything else. Second, the authorities should shoulder its responsibility to ensure that hospitals provide people with high-quality medical care at a reasonable price. (158 words)