Coronary disease characteristics of ACS patients ≥75 years and outcomes of one-year follow up after PCI
10.3969/j.issn.1008-0074.2014.05.16
- VernacularTitle:75岁以上ACS患者冠脉病变特点及PCI术后1年随访结果
- Author:
Ping YIN
;
Zhaofang YIN
;
Zuojun XU
;
Li FAN
;
Yang ZHANG
;
Changqian WANG
- Publication Type:Journal Article
- Keywords:
Coronary artery disease;
Coronary angiography;
The aged
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(5):530-533
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinic and coronary disease lesion features in patients with acute coronary syn-drome (ACS) ≥ 75 years old and the outcomes of one-year follow up after percutaneous coronary intervention (PCI) .Methods :A total of 355 ACS patients ,who hospitalized in our hospital from Jan 2012 to Dec 2012 and re-ceived PCI ,were divided into ≥75 years group (n=205) and <75 years group (n=150) .Clinical and coronary dis-ease lesion characteristics and results of one-year follow up after PCI were compared between two groups .Results:Compared with < 75 years group , there were significant rise in incidence rates of hypertension (66.83% vs . 78.67% ) ,diabetes mellitus (28.29% vs .39.33% ) ,arrhythmia (17.07% vs .44.00% ) ,and percentage of type C lesions in coronary angiography (41.95% vs .56.00% ) in ≥75 years group , P<0.05~ <0.01 .There were no sig-nificant difference in incidence rates of adverse events during one-year follow up between two groups ( P>0.05 ) . Conclusion :Higher incidence rates of clinical complications and complex lesions are found in ≥75 years patients with acute coronary syndrome ;but no significant difference is found in one-year prognosis between the two groups .
