老年急性心肌梗死经皮冠脉介入术后并发衰弱的影响因素及干预措施研究进展

Research progress on influencing factors and intervention measures of frailty in elderly patients with acute myocardial infarction after percutaneous coronary intervention

急性心肌梗死(AMI)是常见的老年心血管急危重病症之一,经皮冠脉介入术(PCI)是对AMI患者实施冠状动脉(冠脉)再灌注的治疗手段,患者病程中衰弱发生率较高,严重影响其身心健康和生活质量,导致出现严重不良结局。早期评估、相关因素分析、及时干预,对降低衰弱导致的不良心血管事件,提高患者生活质量有重要意义。现对老年AMI行PCI患者衰弱的主要特点、影响因素、干预措施等现状进行综述,旨在为老年AMI行PCI衰弱患者实施临床决策和疾病管理提供参考。

Acute myocardial infarction(AMI)is a common acute and critical cardiovascular disease in elderly people.Percutaneous coronary intervention(PCI)is a treatment for coronary reperfusion in patients with AMI.The incidence of frailty was high during the disease,it seriously affects patients'physical and mental health and quality of life,leading to serious adverse outcomes.Early assessment,related factor analysis,and timely intervention were of great significance in reducing the impact of adverse health outcomes caused by frailty and improving the quality of life of patients.This paper reviews the main characteristics,influencing factors,and intervention measures of frailty in elderly patients with acute myocardial infarction undergoing PCI,the purpose was to provide a reference for clinical decisionmaking and disease management in elderly patients with AMI undergoing PCI.