老年男性冠心病患者冠状动脉病变特点(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2008年第4期
- 页码:
- 472-473，477
- 栏目:
- 临床研究
- 出版日期:
- 2008-08-20
文章信息/Info
- Title:
- Analysis of coronary arteriography of coronary artery disease in elderly male patients
- Author(s):
- ZHAI Hongxia; XIA Yunfeng; LIU Runmei; YIN Yaxin; LI Liang; ZHANG Jinjin
- Cadre Ward One, First Affiliated Hospital, PLA General Hospital, Beijing 100031, China
- Keywords:
- coronary ateriography; coronary artery disease; intergra
- 分类号:
- R541.4
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的 探讨老年与中青年男性冠心病患者冠状动脉病变特点的不同。方法 对475例经过冠状动脉造影检查诊断为冠心病的男性患者，其中老年组260例；中青年组215例。对比分析两组冠状动脉病变的不同特点。结果 在老年组中，不稳定型心绞痛患者平均冠状动脉病变支数(1.9±0.1 vs 1.6±0.1)与冠状动脉积分（45±6 vs 27±3）均显著高于中青年组，老年组与中青年组稳定型心绞痛患者冠状动脉病变支数相同(1.9±0.1 vs 1.9±0.1)，冠状动脉积分（46±5 vs 44±5）接近。老年男性急性心肌梗死(AMI)患者冠状动脉病变支数(2.4±0.1 vs 2±0.1)和冠状动脉积分(68±4 vs 56±4)显著高于中青年AMI患者。两组之间的病变血管的分布无显著性差异。老年组单支病变显著低于中青年组（31.9% vs 44.7%），3支病变（43.8% vs 33.0%）和4支病变显著高于中青年组（25% vs 10%）。结论 老年患者不稳定型心绞痛和AMI冠状动脉病变程度高于中青年，而稳定型心绞痛和陈旧性心肌梗死两者病变程度相似。
- Abstract:
- AIM To study the difference of coronary arteriography(CAG) of coronary artery disease (CHD) between nonelderly and elderly male patients. METHODS All of the 475 male patients, who had undergone CAG and been diagnosed CHD, were retrospectively reviewed. The patients were divided into elderly group (260) and nonelderly group (215), and the difference of coronary artery lesion between the two groups was analyzed. RESULTS In elderly group, the number of coronary stenosis (1.9±0.1 vs 1.6±0.1) and the intergra of coronary artery （45±6 vs 27±3） in angina pectoris at rest were much higher than those in nonelderly group. The number of coronary stenosis (1.9±0.1 vs 1.9±0.1) and the intergra of coronary artery （46±5 vs 44±5） were very close in exertional angina pectoris. The number of coronary stenosis (2.4±0.1 vs 2±0.1) and the intergra of coronary artery (68±4 vs 56±4) in acute myocardial infarction in elderly group were much higher than those in nonelderly group. In old myocardial infarction, no significant difference of vascular distribution was observed between the two groups. In elderly group, the proportion of onevessel lesion（31.9% vs 447%）was much lower than that in nonelderly group while the proportion of threevessel lesion（438% vs 330%）and fourvessel lesion was much higher than that in nonelderly group（2.5% vs 1.0%）. CONCLUSION The degree of coronary artery lesion in elderly patients with angina pectoris at rest and acute myocardial infarction is much higher than that in nonelderly group, while the degree of coronary artery lesion in elderly patients with exertional angina pectoris and old myocardial infarction is similar to that in nonelderly group.
参考文献/References
［1］ Gensini GG. A more meaningful scoring system for determining the severity of coronary heart disease［J］. Am J Cardiol, 1983, 51(3):606.
［2］ 李北和. 不同支数冠状动脉病变的临床特点分析［J］. 中华老年心脑血管病杂志, 2006, 8(5):356.
［3］ 李湘,高鑫,张斌,等. 首次冠状动脉造影患者糖代谢分布及血管造影特点分析［J］. 中华医学杂志, 2006, 86(24):1689-1692.
［4］ 李庆祥,徐方兴,艾辉,等. 2型糖尿病合并冠心病患者冠状动脉造影特点分析［J］. 北京医学, 2006, 28(9):528-530.
［5］ 陈然,谢洪智. 中青年冠心病患者临床特点与冠状动脉造影结果分析［J］. 中国现代医学杂志, 2005, 15(7):1059-1061.
［6］ 马颖艳,韩雅玲,荆全民,等. 老年高血压患者冠状动脉造影2330例结果分析［J］. 中华老年多器官疾病杂志, 2004, 3(3):185-187.
备注/Memo
- 备注/Memo:
- 收稿日期：2007-04-25.作者简介:翟红霞，主治医师，硕士生Email:dr_hxzhai@sina.com
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