期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

冠脉造影SYNTAX积分对老年冠心病患者经皮冠状动脉介入治疗预后的预测作用 被引量：11

下载PDF
导出
摘要 目的探讨冠脉造影SYNTAX积分对老年冠心病患者经皮冠状动脉介入治疗(PCI)预后的预测作用。方法选择该院收治的经PCI治疗的老年冠心病患者260例,根据冠状动脉造影结果计算SYNTAX积分,并分为低分组(SYNTAX积分0~22分,n=78例),中分组(SYNTAX积分23~32分,n=96例)和高分组(SYNTAX积分≥33分,n=74例),随访并观察患者主要不良心脑血管事件(MACCE)发生情况。结果随访2年期间高分组MACCE发生率(29.7%)明显高于中分组(13.5%)和低分组(10.3%)(P【0.05),中分组和低分组MACCE发生率比较无统计学差异(P】0.05)。Cox比例危险模型预测MACCE单因素及多因素分析均显示,SYNTAX积分和糖尿病史是MACCE独立危险预测因子(P【0.05)。结论不同SYNTAX积分冠心病患者预后不同,冠脉造影SYNTAX积分是预测老年复杂冠心病患者PCI治疗预后的理想工具。
作者 芮浩淼 齐超 吴长燕
机构地区 南阳市第一人民医院心内科 山东省邹平县人民医院 北京安贞医院
出处 《中国老年学杂志》 CAS CSCD 北大核心 2014年第1期85-86,共2页 Chinese Journal of Gerontology
关键词 冠心病 介入治疗 SYNTAX积分
分类号 R541.4 [医药卫生—心血管疾病]
  • 相关文献

参考文献9

二级参考文献63

  • 1柯元南,陈纪林.不稳定性心绞痛和非ST段抬高心肌梗死诊断与治疗指南[J].中华心血管病杂志,2007,35(4):295-304. 被引量：2117
  • 2[2]Boers GHJ,Smais AGH,Trijbels FJM,et al.Heterzygosity for homocystinuria in premature peripheral and cerebral occtysive arterial disease[J].N Engl J Med,1985,313(22):709.
  • 3[3]Coll BM,Malinow MR,NancyBreamer MS,et al.Elevated plasma homocysteine concentration as a poossible independent risk factor for stroke[J].Stroke,1990,21(31):572.
  • 4[4]Stampfer MJ,Malinow MR,Willett WC,et al.A prospective study of plasma homocysteine and risk of myocardial infarction in US physicins[J].JAMA,1992,268(7):877.
  • 5[5]Boushey CJ,Beresford SA,Omenn GS,et al.A qusntitative assessment of plasma homocysteine as a risk factor for vascular disease; probble benefits of increasing folic acid intake[J].JAMA,1995,274(13):1049.
  • 6[6]Mayer EL,Robinson K,Jacobsen DW,et al.Low plasma homocysteine levels predict reduced atheroma burden in patients undergoing coronary interventions:Evidence from intravascular ultrasound[J].J Am Coll Cardiol,1995,25(special issum):81A.
  • 7[7]Verhoef P,Kok FJ,Kruyssen DA,et al.Plasma totol homocysteine,B vitamins and risk of coronary atherosclerosis[J].Arterioscler Thromb Vasc Biol,1997,17(5):989-995.
  • 8Takagi H, Kawai N, Umemoto T. Meta-analysis of four randomized controlled trials on long-term outcomes of coronaryartery bypass grafting versus percutaneous coronary intervention with stenting for multivessel coronary artery disease. Am J Cardiol, 2008, 101 : 1259-1262.
  • 9Serruys PW, Ong AT, Morice MC, et al. Arterial Revascularization Therapies Study Part Ⅱ- sirolimus-eluting stents for the treatment of patients with muhivessel de novo coronary lesions. Eurolntervention, 2005,1:147-156.
  • 10Rodriguez AE, Grinfeld L, Fernandez-Pereira C, et al. Revascularization strategies of coronmy multiple vessel disease inthe Drug Eluting Stent Era: one year follow-up results of the ERACI Ⅲ Trial: GRINFELD Liliana. EuroIntervention, 2006, 2: 53-60.

共引文献28

同被引文献73

  • 1周滔,杨德光,陈小芳,肖孟,潜学勤.红细胞膜胆固醇水平与非ST抬高型急性冠状动脉综合征患者PCI相关冠状动脉慢血流或无复流发生相关[J].中国动脉硬化杂志,2015,23(4):379-383. 被引量：11
  • 2Sianos G,Morel MA5Kappetein AP,et al.The SYNTAX score:an angiographic tool grading the complexity of coronary artery disease[J].Euro Intervention,2005,1(2):219-227.
  • 3Serruys PW,Morice MC,Kappetein AP,et al.Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease[J].N Engl J Med,2009,360(10):961-972.
  • 4Valgimigli M,Serruys PW,Tsuchida K,et al.Cyphering the complexity of coronary artery disease using the SYNTAX score to predict clinical outcome in patients with three vessel lumen obstruction undergoingpercutaneous coronary intervention[J].Am J Cardiol,2007,99(8):1072-1081.
  • 5Kim YH,Park DW,Kim WJ,et al.Validation of SYNTAX'(Synergy between PCI with Taxus and Cardiac Surgery)score for prediction of outcomes after unprotected left main coro- nary revascularization[J].J Am Coll Cardiol Intv,2010,3(6):612-623.
  • 6Onuma Y,Girasis C,Piazza N,et al.Long-term clinical re- sults following stenting of the left main stem[J],J Am Coll Cardiol Intv,2010,3(6):584-594.
  • 7CETINKAL G, DOGAN S M, KOCAS C, et al. The value of the Clinical SYNTAX Score in predicting long-term prognosis in patients with ST-segment elevation myocardial infarction who have undergone primary percutaneous coronary intervention [ J ]. Coron Artery Dis, 2016, 27(2) : 135-142.
  • 8NAGASHIMA Y, IIJIMA R, NAKAMURA M, et al. Utility of the SYNTAX score in predicting outcomes after coronary intervention for chronic total occlusion [J]. Herz, 2015, 40 (8) : 1090-1096.
  • 9SAFARIAN H, ALIDOOSTI M, SHAFIEE A, et al. The SYNTAX score can predict major adverse cardiac events following percutaneous coronary intervention [J]. Heart Views, 2014, 15(4) : 99-105.
  • 10RODRIGUEZ A E, FERNANDEZ-PEREIRA C, MIERES J, et al. Modifying angiographic syntax score according to PCI strategy: lessons learnt from ERACI IV Study [J]. Cardiovasc Revasc Med, 2015, 16(7) : 418-420.

引证文献11

二级引证文献59

中国老年学杂志
2014年 第1期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部