探讨老年女性急性ST段抬高型心肌梗死患者的临床特征

Explore the Clinical Characteristics of Acute ST-segment Elevation Myocardial Infarction in Elderly Women

目的探讨老年女性急性ST段抬高型心肌梗死患者的临床特征。方法选取我院2018年4月至2019年4月收治的35例老年女性急性ST段抬高型心肌梗死(STEMI)患者作为观察组,选取同期35例老年男性STEMI患者作为对照组,对比两组患者的病历资料和预后情况。结果观察组的年龄比对照组大,病情(典型胸痛率、B型尿钠肽(BNP)和住院时间)比对照组重,不良事件(心绞痛和心力衰竭)的发生率比对照组高,差异有统计学意义(P<0.05)。结论与老年男性STEMI患者相比,老年女性STEMI患者年龄更大,病情更重,治疗时间更长,心绞痛和心力衰竭的发生率更高,在临床治疗过程中必须引起重视。

Objective To investigate the clinical characteristics of acute ST-segment elevation myocardial infarction in elderly women. Methods Thirty-five elderly female patients with acute ST-segment elevation myocardial infarction(STEMI) admitted to our hospital from April 2018 to April 2019 were selected as the observation group, and 35 elderly male patients with STEMI were selected as the control group during the same period. The medical records and prognosis of the two groups were compared. Results The age of the observation group was older than that of the control group, the condition(typical chest pain rate, B-type natriuretic peptide(BNP) and hospitalization time) of the observation group were heavier than that of the control group, and the incidence of adverse events(angina pectoris and heart failure) was higher than that of the control group, the difference was statistically significant(P<0.05). Conclusion Compared with the elderly male STEMI patients, the elderly female STEMI patients are older, more severely ill, longer treatment time, higher incidence of angina pectoris and heart failure, which should be paid attention to in the clinical treatment process.