【作者】 陈韦任; 朱平; 刘宏伟;
【Author】 CHEN Wei-Ren,ZHU Ping,and LIU Hong-Wei(The PLA General Hospital,Beijing 100853,China)
【机构】 中国人民解放军总医院南楼心血管一科;
【摘要】 目的评价年龄>75岁老年患者冠状动脉介入治疗术后远期效果,了解老年人介入术后的有效性。方法 351例行冠状动脉介入患者,按年龄分为普通老年组(≤75岁,n=180)和>75岁老年组(n=171),了解年龄>75岁患者一般临床资料、冠状动脉造影情况、冠状动脉介入术后1年心肌梗死发生率、再次冠状动脉介入率及不良事件发生率等。结果 >75岁老年组高血压、糖尿病患病率升高(P<0.05),冠状动脉病变以多支病变为主(P<0.05),左回旋支和右冠状动脉病变明显高于普通老年组(P<0.05),冠状动脉介入术后心源性病死率、再次冠状动脉介入治疗率、冠状动脉搭桥率等明显高于普通老年组(P<0.05)。结论年龄>75岁患者冠心病多并发高血压、糖尿病等,冠状动脉病变重而且复杂,冠状动脉介入治疗术后心血管发生率升高,不能减少远期死亡率。 更多还原
【Abstract】 Aim To evaluate the long term clinical results in elderly patients(>75 years) with coronary artery disease after percutaneous coronary intervention.Methods From January 2008 to January 2010,351 patients underwent percutaneous coronary intervention in the Chinese PLA General Hospital were divided into two groups,the number of normal group(≤75 years old) was 180,the elderly group(>75 years old) was 171,general clinical data and the result of coronary angiography were recorded,the rate of myo... 更多还原 【关键词】 老年人; 远期预后; 冠状动脉介入; 【Key words】 Elderly; Long Term Outcomes; Percutaneous Coronary Intervention;
【分类号】R541.4
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