老年心脏性猝死的临床分析

目的：分析老年心脏性猝死（ＳＣＤ）的临床特点。方法：回顾３７例６１～８４岁ＳＣＤ者的临床资料，其中部分患者曾行冠状动脉造影或尸检。结果：老年ＳＣＤ者中８１．１％生前有冠心病，５６．８％患冠心病和高血压２种疾病。冠状动脉造影或尸检可见冠状动脉血管粥样硬化病变广泛、严重。男性和伴有左室功能不全者ＳＣＤ的危险增高。结论：为减少老年冠心病和高血血压患者发生ＳＣＤ，临床需采取积极措施，改善患者心肌缺血，保护心功能。

Retrospective study on sudden cardiac death in aged patients

Objective:To study the clinical features of aged patients with sudden cardiac death (SCD).Methods:The clinical data of 37 SCD patients aged between 6184 years old was analyzed retrospectively.Coronary artery angiography and autopsy were performed in part of the patients.Results:81.1% of the patients had coronary heart disease and 56 8% of the patients had coronary heart disease accompanied by hypertension.The results of coronary artery angiography and autopsy revealed extensive and serious atherosclerotic coronary artery disease in every case.Male patients and patients with left ventricular dysfunction had higher SCD risk.Conclusions:Clinical efforts aimed at improving myocardial function are mandatory for the decrease of SCD risk in aged patients with coronary heart disease and hypertension.