Gender difference in clinical features and outcomes of elderly patients with coronary true bifurcation lesions after percutaneous coronary intervention
10.3969/j.issn.1004-8812.2017.03.007
- VernacularTitle:不同性别老年冠状动脉真性分叉病变患者的临床特征及介入治疗预后分析
- Author:
Fang WANG
;
Changpeng ZUO
;
Jing ZONG
;
Fangfang LI
;
Luhong XU
;
Hui YONG
;
Jiali LIU
;
Wenhao QIAN
- Keywords:
Coronary true bifurcation lesions;
Percutaneous coronary intervention;
Gender;
Prognosis
- From:
Chinese Journal of Interventional Cardiology
2017;25(3):153-157
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the gender difference in clinical features and outcomes of elderly patients with coronary true bifurcation lesions after percutaneous coronary intervention (PCI).Methods A total of 169 consecutive patients were included in the study, who were diagnosed coronary true bifurcation lesions by coronary angiography (CAG)and received PCI in our hospital from December 2013 to December 2015.All patients were divided into 2 groups according to their gender (71 femals and 98 males).Angiographic characteristics of the coronary lesions and clinical data were analyzed in both groups.Clinical outcomes during follow up were recorded and studied.Results The levels of total cholesterol (TC), triglyceride (TG),high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) in the female group were significantly higher than in the male group (all P<0.05).The levels of BUN,Cr,UA,CyC and TBIL in the female group were significantly lower than in the male group (all P<0.05).Comorbidity rates of hypertension and diabetes were higher in female patients without significant differences (P>0.05).The median follow-up time was 17 months and the incidence rate of overall adverse events in women was higher than that of men (25.4% vs.11.2%, P<0.05).Conclusions The clinical outcomes of elderly patients with coronary true bifurcation lesions after PCI had gender differences.The rates of adverse events in female patients was found significantly higher than male patients.
