Clinical feature of acute coronary syndromes in senior populations
10.3760/cma.j.issn.1008-6315.2010.02.005
- VernacularTitle:老年急性冠状动脉综合征患者的临床特点分析
- Author:
Licheng YU
- Publication Type:Journal Article
- Keywords:
Senior;
Acute coronary disease
- From:
Clinical Medicine of China
2010;26(2):126-128
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical feature of acute coronary syndromes (ACS) in senior populations and provide reference for the clinical diagnosis and treatment. Methods Clinical data of 175 elder patients of ACS and 65 non-elder patients of ACS were collected from September,2006 to September,2009. Clinical data were compared between the two groups. Results The elder ACS patients had higher prevalence of hypertension,cerebro-vascular disorder and renal inadequacy (68.6%, 18.3% and 32.6%, respectively) than those in the non-elder ACS patients (46.2% ,3.1% and 10.8%, respectively) (P<0.01). The level of hemoglobin, cholesterol, LDL and tri-glyceride in the elder ACS patients ((120.93±30.02) g/L, (4.47±1.29) mmol/L, (2.42±1.05) mmol/L and (1.31±0.87)mmol/L,respectively) were lower than those in the non-elder ACS patients ((141.02±17.16)g/L, (4.98±1.01 ) mmol/L, (2.71±0.99) mmol/L and (1.78±1.2) mmol/L, respectively) (P<0.01, P<0.05). However,the level of fibrinogen was higher in the elder ACS patients ((381.01±150.94) μg/L vs ( 338.91± 138.65) μg/L , P<0.05). Conclusions Hypertension, cerebrovascular disorder, hypohemoglobinemia and renal inadequacy are highly correlated with ACS in senior populations. These factors should be considered in chnical diag-nosis and treatment. Early diagnose and treatment in time may decline the case-fatality rate.
