Analysis of causes and inducement in 126 aged patients with acute heart failure
10.3969/j.issn.1008-0074.2015.04.24
- VernacularTitle:126例住院老年急性心衰患者的病因及诱因分析
- Author:
Lifang CHEN
- Publication Type:Journal Article
- Keywords:
Heart failure;
Aged;
Coronary disease
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2015;24(4):431-433
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore causes and inducement in aged patients with acute heart failure (AHF)and provide reference for clinical prevention and treatment of AHF.Methods:A total of 213 AHF patients,who hospitalized in Shenzhen Shekou People's Hospital from Jan 2010 to Dec 2013,were enrolled and divided into aged group (n=126) and youth and middle-aged group (n=87),incidence of causes and inducement were compared and analyzed between two groups.Results:Compared with youth and middle-aged group,there were significant rise in percentages of cor-onary heart disease (17.24% vs.72.22%)and hypertension (10.34% vs.34.13%),and significant reductions in percentages of valvular heart disease (12.70% vs.4.76%),cardiomyopathy (35.63% vs.7.14%)and congenital heart disease (26.44% vs.5.56%)in aged group,P <0.01 all.For the cause aggregation,percentage of multi-cause in aged group was significantly higher than that of youth and middle-aged group (39.68% vs.17.24%),while percentage of single-cause in youth and middle-aged group was significantly higher than that of aged group (82.76%vs.60.32%),P <0.01 both;the most frequent inducement was infection in both group,but there was no signifi-cant difference between two groups,P >0.05. Conclusion:Cause constitution is different among patients with acute heart failure and different age.The cause is complex and it′s mainly is coronary heart disease and hypertension in aged patients,and multiple factors work together.The target prevention and treatment should be taken according to the actual condition.