急性冠脉综合征并糖耐量异常临床特征及冠脉病变特点

急性冠脉综合征(acute coronary syndrome,ACS)包括不稳定型心绞痛、非ST段抬高性心肌梗死和ST段抬高性心肌梗死,是老年人中的常见病。流行病学资料表明,美国>65岁老年人占总人口的12·6%,但是,占急性心肌梗死住院病人的60%以上,其病死者中80%以上为>65岁老年人1]。增龄是急性

Clinical characteristics of acute coronary syndromes in elderly patients complicated with impaired glucose tolerance

Objective To investigate the clinical characteristics and coronary lesions in elderly patients with acute coronary syndrome(ACS) complicated with impaired glucose tolerance. Methods The data of 96 elderly patients with ACS who underwent coronary angiography(CAG)were retrospectively analyzed.All patients were divided into 3 groups:group A,48 cases of normal glucose tolerance (NGT group);group B,26 cases of impaired glucose tolerance (IGT group);group C,22 cases of diabetes mellitus (DM group). Results Multivessel coronary lesions and diffusing stenosis,hypertension,hyperlipidemia,heart failure,and compensatory circulation occurred more frequently in IGT group than in NGT group.There was no significant difference between IGT and DM group. Conclusions There are similar morbidity and severity of coronary artery disease between IGT and DM group.The elderly patients with ACS should undergo conventional test with oral glucose tolerance test(OGTT).