老年急性冠脉综合征的临床研究

Study of acute coronary syndromes in elderly patients

目的探讨老年男性与女性患者急性冠脉综合征(ACS)、冠脉高危因素、冠脉造影结构、冠脉血管再通术、住院期间死亡及复发心梗的特点。方法177例ACS老年患者,诊断为ST段抬高AMI、非ST段抬高AMI及不稳定型心绞痛,行冠脉造影检查。结果老年男性患者心梗史、冠脉再通史、周围血管病变史、吸烟史均高于女性,冠脉高危因素高于女性。结论老年男性比女性患者有更高的三支血管病变发生,因ACS住院的老年患者冠脉高危因素及完全性闭塞病变比例更高。

Objective To investigate the relationship of elderly women versus elderly men of acute coronary syndromes,coronary risk factors,coronary angiographic findings, the prevalence of coronary revasculariaztion performed, and the in-hospital incidence of mortality and recurrent AMI. Mathods 177 patients with ACS were ineluded, and all patients with ST-segment elevation AMI or non ST-segment elevation AMI or unstable angina pectoris underwent coronary angiography. Results Elderly men had a higher prevalence of prior AMI,prior coronary revasculariaztion, peripheral vaseuler disease, and cigarette smoking,a higher prevalence of coronary risk factors than elderly women. Conclusion The study found a higher prevalence of 3-vessel CAD in men than in women.Elderly women and men hospitalization for an ACS have a high prevalence of coronary risk factors and obstructive CAD.