老年急性冠脉综合征79例临床分析

Clinical Analysis on Senium Acute Coronary Syndromes

目的:探讨老年急性冠脉综合征的临床特点,为临床诊治该病提供参考依据。方法:收集2003～2007年79例老年急性冠脉综合征患者,74例老年稳定性心绞痛患者临床资料,比较两组的基线情况。结果:老年急性冠脉综合征组并存高血压、糖尿病、脑梗死,高FG、高hs-CRP者与老年稳定性心绞痛组比较明显增多,血脂明显升高;心律失常的严重程度明显增高,心功能不良程度明显加重。结论:高血压、糖尿病、脑血管病,高FG、高hs-CR、高血脂症及心律失常等与老年急性冠脉综合征密切相关,临床诊治该病应考虑其易患因素,早期诊断和及时治疗,可降低患者的病死率。

Objective： To explore the clinical feature of SACS and offer basis for clinical diagnosis and treatment. Methods： The conditions of Baseline among 79 patients suffering from SACS and 74 patients suffering from Stabile Angina Pectoris from 2003 to 2007 were compared. Results： Patients in SCAS were conspicuously combining H ypertention Diabetes Mellitus and Cerebral Infarction; their FG, hs-CRP and Blood Fat were obviously rising than that of Stabile Angina Pectoris group. The Arrhythmia of SCAS the group was evident. Conclusion： SACS is correlated closely with Hypertension, Cerebrovaseular Disease, Hyper-FG, Hyper-hs-CRP, Hyper Blood Fat and Arrhythmia. The liability factors should be considered to cut down the death rate when the disease is treated.