男性急性冠脉综合征患者多支病变预测因素

Predictors of Multi-vessel Disease in Male Patients with Acute Coronary Syndrome

目的 :研究急性冠脉综合征男性患者多支冠状动脉病变的临床预测因素。方法 :共 10 4例男性患者入选 ,年龄 6 4 .9± 9.6岁。综合患者的人群因素、临床特征和无创伤检查结果 (血液生化和心脏超声等 ) ,结合冠状动脉造影结果进行Logistic回归分析。结果 :冠状动脉造影结果显示单支病变 2 4例 ,多支病变 80例。以多支病变为因变量 ,慢性胸痛、血尿酸水平增高、左心室射血分数降低和左心房扩大是其有统计学意义的自变量 ,其余因素无统计学意义。结论 :慢性胸痛、血尿酸水平增高、左心室射血分数减低和左心房扩大是急性冠脉综合征男性患者多支病变的预测因素。

Objective: To study the predictors of mult i-vessel diseases in male patients with acute coronary syndrome. Methods:One hundred and four patients entered this study, aged 6 4.9±9.6 years. All data including demographic factors, clinical feature and non -interventional work-up entered a logistic analysis model.Results: Angiography demonstrated that 24 patients had single-ve ssel disease, and 80 patients had multi-vessel diseases. Based on multi-vessel d iseases, chronic chest pain, increased serum uric acid, decreased left ventricul ar ejection fraction and dilated left atrium are significant independent variabl es. Conclusion:Chronic chest pain, increased serum uric acid, decrea sed left ventricular ejection fraction and dilated left atrium are independent p redictors of multi-vessel disease in male patients with acute coronary syndrome.