我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

老年冠心病患者的临床及冠状动脉造影特点

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2009年第5期
页码:
727-729
栏目:
临床研究
出版日期:
2009-07-14

文章信息/Info

Title:
Clinical and angiographic characteristics of coronary artery disease in elderly patients
作者:
李丽; 高大胜; 蔡鑫; 胡司淦
蚌埠医学院第一附属医院心血管科，安徽 蚌埠 233004
Author(s):
LI Li;  GAO Da-sheng;  CAI Xin;  HU Si-gan
Department of Cardiovasology, First Affiliated Hospital, Bengbu Medical College, Bengbu 233004, Anhui, China
关键词:
冠状动脉疾病; 冠状动脉造影; 老年人
Keywords:
coronary disease;  coronary angiography;  elderly patients
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的: 探讨老年冠心病患者的临床及冠状动脉造影（CAG）特点。方法: 2007年2月～2008年3月冠心病患者275例，根据年龄分为中青年组（<60岁，n=100)和老年组（≥60岁，n=175)，对两组患者一般资料、血生化指标及CAG结果进行回顾性分析。结果: 老年组高血压病患病率显著高于中青年组(62% vs 39%，P<0.01),且血尿酸水平明显高于中青年组（P<0.05）。老年组以多支病变较多 (P<0.01)。老年组左回旋支(LCX)和右冠状动脉(RCA)病变均明显高于中青年组（P<0.01），老年组ACC/AHA积分和弥漫长病变多于中青年组(P<0.01)。结论: 老年冠心病多并发高血压病和高血尿酸，病变程度较重且较弥漫。
Abstract:
AIM: To explore the clinical and angiographic characteristics of coronary artery disease (CAD) in elderly patients. METHODS: Two hundred and seventy-five CAD patients in our hospital were divided into two groups according to age: young and middle-aged group (<60 years old) and elderly group (60 years old), and their data were retrospectively compared and analyzed. RESULTS: There were more hypertensive patients in the elderly group than in the young and middle-aged group (P<0.01). More multiple vessel disease was found in the elderly group compared with that in young and middle-aged group (P<0.01). LCX and RCA diseases occurred more frequently in elderly patients than young and middle-aged group (P<0.01). Compared with those of young and middle-aged group, ACC/AHA scores of elderly group were also higher (P<0.01). Diffuse lesions in high-elderly group were more than those in young and middle-aged group (P<0.01). CONCLUSION: CAD in elderly patients is more often complicated with hypertension and high uric acid levels. Their lesions may be more severe and diffuse.

参考文献/References

［1］ Guidelines for coronary angiography. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on coronary angiography)［J］. Circulation, 1987, 76(4):963A-977A.

［2］ 马梅,尹浩晔,贾文军,等. 不同冠状动脉评分方法评价冠心病严重程度的关系研究［J］. 中国循环杂志, 2007, 22(5):340-342.

［3］ 李晶玮,赵敏,杜凤和,等. 中年冠心病患者的临床及冠状动脉造影的特点［J］. 临床荟萃, 2007, 22(17):1245-1246.

［4］ Beaglehole R, Magnus P. The search for new risk factors for coronary heart disease: occupational therapy for epidemiologists?［J］. Int J Epidemiol, 2002, 31(6):1117-1112.

［5］ 王晋军,杨超慧,张颖,等.老年冠心病患者冠状动脉病变特点及其危险因素的多元回归分析［J］. 中华老年医学杂志, 2002, 21(3):172-174.

备注/Memo

备注/Memo:
收稿日期：2008-5-13.通讯作者：高大胜，主任医师，主要从事冠心病介入诊疗Email：gaodasheng@medmail.com.cn 作者简介：李丽，硕士生Email:jzbb1111@126.com
更新日期/Last Update: 2009-07-22