老年冠心病患者的临床及冠状动脉造影特点

李丽; 高大胜; 蔡鑫; 胡司淦

老年冠心病患者的临床及冠状动脉造影特点

Clinical and angiographic characteristics of coronary artery disease in elderly patients

摘要

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.

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