论文部分内容阅读
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%vs39%,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。
Objective: To investigate the clinical features and coronary angiography (CAG) in elderly patients with coronary heart disease. Methods: From February 2007 to March 2008, 275 patients with coronary heart disease were divided into two groups according to their age: young and middle-aged patients (n = 100) and elderly patients (≥60 years and n = 175) General information, blood biochemical indicators and CAG results were retrospectively analyzed. Results: The prevalence of hypertension in the elderly group was significantly higher than that in the middle-aged group (62% vs 39%, P <0.01), and the serum uric acid level was significantly higher than that in the middle-aged group (P <0.05). More elderly patients with multiple lesions (P <0.01). The left circumflex artery (LCX) and right coronary artery (RCA) lesions in the elderly group were significantly higher than those in the young group (P <0.01). The ACC / AHA score and diffuse long lesions in the elderly group were more than those in the young group (P <0.01). Conclusion: The elderly with coronary heart disease complicated by hypertension and hyperuricemia, the severity of the lesions and more diffuse.