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随访265例老年冠心病和冠心病合并高血压病人2~8.5年,有41例病人再发心脏事件,包括初发或再发急性心肌梗塞和心原性猝死。生存曲线分析表明,合并高血压冠心病病人的再发心脏事件率显著增高。Cox多元分析筛选冠心病和冠心病合并高血压两组病人的再发心脏事件的影响因素不同。结果提示高血压对心脏的损害可能是合并高血压的老年冠心病人预后更差的主要原因。
Follow-up 265 cases of elderly patients with coronary heart disease and coronary heart disease with hypertension in patients 2-8.5 years, 41 patients with recurrent cardiac events, including recurrent or recurrent acute myocardial infarction and sudden cardiac death. Survival curves showed that the incidence of recurrent cardiac events was significantly higher in patients with CHD. Cox multivariate analysis of coronary heart disease and coronary heart disease with hypertension in two groups of patients with recurrent cardiac events affect the different factors. The results suggest that the damage to heart caused by hypertension may be the main reason for the poorer prognosis of elderly patients with coronary heart disease complicated by hypertension.