老年冠心病无症状心肌缺血患者预后的相关因素分析

目的研究老年冠心病患者发生无症状心肌缺血(SMI)的相关因素,并分析其对预后的影响。方法选取2009年1月～2011年8月心内科住院的老年冠心病无症状心肌缺血患者100例,记录糖尿病、高脂血症、高血压、左室肥厚以及有吸烟等病史,讨论增加心脏事件的临床相关危险因素。结果临床流行病学证实,糖尿病、高脂血症、高血压、左室肥厚和吸烟与再发心脏事件有密切的关系。结论积极消除或减轻无症状心肌缺血(SMI)的危险因素,对改善患者的预后,提高生活质量有重要意义。

Objective To observe the relative factors on coronary heart disease with SMI, analysis the effect for prognosis. Methods From April 2010 to January 2011, select 100 coronary heart disease cases with SMI in our hospital,record case history of diabetes,high blood pressure, hyperlipemia, left ventricular hypertrophy and smoking,analysis the risk factors of increasing MACE.Results clinical epidemiology to confirm, diabetes, high blood pressure,hyperlipemia, left ventricular hypertrophy and smoking have intimate relation with reappearance MACE. Conclusion To eliminate or lessen the relative factors of SMI activity, has important significance for improve the prognosis and quality of life.