老年冠心病患者的临床及冠状动脉造影特点

Clinical and angiographic characteristics of coronary artery disease in elderly patients

目的：探讨老年冠心病患者的临床及冠状动脉造影（CAG）特点。方法：2007年2月~2008年3月冠心病患者275例,根据年龄分为中青年组（〈60岁,n=100）和老年组（≥60岁,n=175）,对两组患者一般资料、血生化指标及CAG结果进行回顾性分析。结果：老年组高血压病患病率显著高于中青年组（62%vs39%,P〈0.01）,且血尿酸水平明显高于中青年组（P〈0.05）。老年组以多支病变较多（P〈0.01）。老年组左回旋支（LCX）和右冠状动脉（RCA）病变均明显高于中青年组（P〈0.01）,老年组ACC/AHA积分和弥漫长病变多于中青年组（P〈0.01）。结论：老年冠心病多并发高血压病和高血尿酸,病变程度较重且较弥漫。

AIM： To explore the clinical and angiographic characteristics of coronary artery disease （CAD） in elderly patients. METHODS： Two hundred and seventy-five CAD patients in our hospital were divided into two groups according to age： young and middle-aged group （ 〈 60 years old） and elderly group （60 years old） , and their data were retrospectively compared and analyzed. RESULTS： There were more hypertensive patients in the elderly group than in the young and middle-aged group （P 〈 0.01）. More multiple vessel disease was found in the elderly group compared with that in young and middle-aged group （P 〈 0.01 ）. LCX and RCA diseases occurred more frequently in elderly patients than young and middle-aged group （P 〈 0.01 ）. Compared with those of young and middle-aged group, ACC/ AHA scores of elderly group were also higher （P 〈 0. 01 ）. Diffuse lesions in high-elderly group were more than those in young and middle-aged group （P 〈 0.01 ）. CONCLUSION： CAD in elderly patients is more often complicated with hypertension and high uric acid levels. Their lesions may be more severe and diffuse.