介入治疗对高龄急性心肌梗死患者临床预后的影响

被引：17

作者：

赵明中

胡大一

马志敏

孙淑红

许玉韵

机构：

[1] 北京大学人民医院心内科,北京大学人民医院心内科,北京大学人民医院心内科,北京大学人民医院心内科,北京大学第一医院心内科,,,

来源：

中华内科杂志 | 2002年 / 11期

关键词：

血管成形术,经腔,经皮冠状动脉; 心肌梗塞; 老年人;

D O I：

暂无

中图分类号：

R815 [放射疗法];

学科分类号：

摘要：

目的　观察直接经皮冠状动脉内介入 (PCI)对高龄ST段抬高的急性心肌梗死 (STEMI)患者临床预后的影响。方法　STEMI连续行直接PCI的患者 1 56例 ,对IRA行直接PCI。随访 1～ 1 2个月患者主要心血管事件 (MACE)的发生率。结果　≥ 75岁组较 <75岁组中脑卒中比例较高 (P <0 0 5) ,患者发病至再灌注时间延长 (P <0 0 5) ,左室射血分数 (LVEF)降低 (P <0 0 5)。共随访 1 4 5例患者 ,两组住院期发生非致命性再次心肌梗死差异无显著性 ,但≥ 75岁组心脏性死亡增高 (9 4%比1 8% ,P <0 0 5) ;随访平均 (7 3± 3 2 )个月 ,≥ 75岁组患者总心脏性病死率明显高于 <75岁组(1 2 5 %比 1 8% ,P <0 0 5)。多变量logistic回归分析提示年龄≥ 75岁与LVEF值降低分别与STEMI患者行直接PCI后心脏性死亡增加密切相关 ,是心脏性死亡事件危险增高的独立预测变量。结论　年龄≥ 75岁因素可能是STEMI患者行直接PCI后心脏性死亡增加的独立预测因子

引用

页码：22 / 24

页数：3

共 7 条

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