Clinical and angiographic characteristics of coronary artery disease in elderly patients

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.