老年急性冠脉综合征的临床研究

目的 探讨老年男性与女性患者急性冠脉综合征(ACS)、冠脉高危因素、冠脉造影结构、冠脉血管再通术、住院期间死亡及复发心梗的特点.方法 177例ACS老年患者,诊断为ST段抬高AMI、非ST段抬高AMI及不稳定型心绞痛,行冠脉造影检查.结果 老年男性患者心梗史、冠脉再通史、周围血管病变史、吸烟史均高于女性,冠脉高危因素高于女性.结论 老年男性比女性患者有更高的三支血管病变发生,因ACS住院的老年患者冠脉高危因素及完全性闭塞病变比例更高.

Study of acute coronary syndromes in elderly patients

Objective To investigate the relationship of elderly women versus elderly men of acute coronary syndromes,coronary risk factors,coronary angiographic findings,the prevalence of coronary revasculariaztion performed,and the in-hospital incidence of mortality and recurrent AMI. Mathods 177 patients with ACS were included,and all patients with ST-segment elevation AMI or non ST-segment elevation AMI or unstable angina pectoris underwent coronary angiography. Results Elderly men had a higher prevalence of prior ...