恶性肿瘤患者经皮冠状动脉介入术后的远期预后及其影响因素

目的 探讨恶性肿瘤患者经皮冠状动脉介入(PCI)术后远期预后及其影响因素.方法 回顾性收集208例恶性肿瘤并发急性冠脉综合征行PCI手术治疗的患者的临床资料,对患者性别、年龄、肿瘤临床分期、主要终点事件及次要终点事件等资料进行整理分析.结果 主要终点事件发生率前三位分别为靶血管血运重建、非致死性心肌梗死、心肌梗死溶栓试...

Influencing Factors and Long-term Outcomes of Patients with Cancer Underwent Percutaneous Coronary Intervention

Objective To investigate the influencing factors and long-term outcomes of patients with cancer undergoing percutaneous coronary intervention(PCI).Methods A total of 208 cases of adult acute coronary syndrome(ACS)patients information with cancer who underwent PCI,the data of gender,age,clinical stage,primary and secondary endpoints were analyzed.Results The first three primary end point events in patients were target vascular revascularization,nonfatal myocardial infarction,and thrombolytic hemorrhage in myocardial infarction,the incidence were 13.46%,3.37%and 3.37%,the first three secondary end point events were cardiovascular readmission,all-cause death,and revascularization,the incidence were 35.58%,14.90%and 13.94%.All-cause death was the final endpoint and prognostic indicator,univariate analysis showed that gender,age,tumor type,anti-tumor therapy,type of acute coronary syndrome,number of diseased vessels,number of stents implanted and other factors were not associated with the final all-cause death of the patient(P>0.05).Logistic multivariate regression analysis showed that clinical stage,HYHA grade and renal function were independent risk factors for long-term outcomes(P<0.05).ConclusionLong-term outcomes is relatively poor in patients with cancer undergoing PCI,the blood circulation reconstruction rate is low,and the main factors affecting all-cause death are clinical stage of tumor,HYHA grade and renal function.