| 预测冠心病患者冠状动脉介入术后长期效果的预测因素 |
| |
| 引用本文： | 徐岩,徐予,朱中玉,王宪沛,高传玉,牛振民,黄克钧,陈岩,刘煜昊,李牧尉. 预测冠心病患者冠状动脉介入术后长期效果的预测因素[J]. 临床心血管病杂志, 2009, 25(9) |
| |
| 作者姓名： | 徐岩 徐予 朱中玉 王宪沛 高传玉 牛振民 黄克钧 陈岩 刘煜昊 李牧尉 |
| |
| 作者单位： | 河南省直第一医院心内科,郑州,450003;河南省人民医院心内科 |
| |
| 摘 要： | 目的:分析预测冠心病患者冠状动脉介入治疗术(PCI)后长期临床效果的预测因素。方法:收集592例冠心病患者PCI后的临床资料并进行随访,随访主要不良心血管事件(MACE)发生情况并经多元logistic回归的方法分析这些事件的相关因素。结果:平均随访时间18.96(3～57)个月。MACE的发生率为7.6%,全因性死亡率为2.4%,非致死性心肌梗死发生率为1.5%。MACE发生的预测因素有PCI方式、近段病变、参考血管的直径及氯吡格雷的应用时间,年龄、有心肌梗死史及氯吡格雷应用时间可预测全因性死亡,术后未戒烟及完全停止抗血小板治疗增加非致死性心肌梗死的危险。结论:高龄、单纯经皮冠状动脉球囊成形术或置入金属裸支架、小血管病变、近段病变和对抗血小板治疗及戒烟的依从性差是预测PCI后不良预后的因素。
|
| 关 键 词： | 冠心病 血管成形术 经腔 经皮冠状动脉 预测因素 长期预后 |
Predictive factors for the long-term outcomes in patients undergoing percutaneous coronary intervention |
| |
| XU Yan XU Yu ZHU Zhongyu WANG Xianpei GAO ChuanyuNIU Zhenmin HUANG Kejun CHEN Yan LIU Yuhao LI Muwei. Predictive factors for the long-term outcomes in patients undergoing percutaneous coronary intervention[J]. Journal of Clinical Cardiology, 2009, 25(9) |
| |
| Authors: | XU Yan XU Yu ZHU Zhongyu WANG Xianpei GAO ChuanyuNIU Zhenmin HUANG Kejun CHEN Yan LIU Yuhao LI Muwei |
| |
| Affiliation: | 1Department of Cardiology;the First Hospital affiliated to henan Provincial Government;Zhengzhou;450003;China;2Department of Cardiology;Henan Province People' Hospital |
| |
| Abstract: | Objective:To explore the predictive factors for long-term outcomes in patients undergoing percutaneous coronary intervention (PCI) in real world. Method:The clinical data was collected in 592 patients undergoing PCI in our department,major adverse cardiac events (MACE was defined as all-cause death,nonfatal myocardial infarction and coronary revascularization) was carefully recorded at follow-up,their relationship was analyzed by multi-variables stepwise logistic regression. Result:The average follow-up was... |
| |
| Keywords: | angioplasty transluminal percutaneous coronary predictive factors long-term outcomes |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
