男性急性冠脉综合征患者PCI治疗的预后预测因素

Prognostic factors of male patients with acute coronary syndrome after percutaneos coronary intervention therapy

目的 探讨PCI治疗时代影响男性患者中期预后的危险因素。方法 72例男性急性冠脉综合征患者入选 ,年龄 :(6 5± 10 )岁。包括急性心肌梗死 4 2例 ,不稳定性心胶痛 30例。随访 (11.9±8.7)个月。综合患者的人群因素、无创检查、合并症情况和冠状动脉造影情况 ,进行logistic回归分析。结果 logistic回归分析提示 ,以重要心脏不良事件为因变量 ,前间隔心肌梗死和超声心动图提示前间隔收缩功能减弱是有意义的预测因素 (P <0 .0 5 ) ,系数分别是 1.90 8和 15。其他因素为无意义变量 ,P >0 .0 5。

Objective To study prognostic risk factors of male patients with acute coronary syndrome in sent era.Methods seventy-two patients entered this study(aged 65.8±9.2 years).Forty-two patients were diagnosed as acute myocardial infarction,and thirty as unstable angina,followed up 11.9±8.7 months.All factors including demographic factors,non-interventional work-up,associated clinical complications and esults of coronary artery angiography entered a model of logisitic analysis. Results Based on MACE (major adverse cardiac events),interventricular septal infarction and interventricular septal segment depression are significant independent variables (P< 0.05),and their coefficients are 1.908 and 15respectively.Conclusions interventriular septal infarction and interterventriular septal segment depression are prognostic factors of MACE in male patients with acute coronary syndrome.