Clinical characteristics of elderly female acute ST-segment elevation myocardial infarction patients
10.3969/j.issn.1009-0126.2017.10.008
- VernacularTitle:老年女性急性ST段抬高型心肌梗死患者临床特征分析
- Author:
guang Chen YANG
1
;
Fang WANG
Author Information
1. 100730,北京医院心血管内科国家老年医学中心
- Keywords:
myocardial infarction;
glomerular filtration rate;
chest pain;
myocardial ischemia
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2017;19(10):1039-1042
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical characteristics of elderly female acute ST-segment elevation myocardial infarction (STEMI) patients.Methods One hundred and eight ≥60 years old acute STEMI patients admitted to our hospital from November 2015 to February 2017 were divided into male group (n=63) and female group (n=45).Their clinical baseline data,coronary artery intervention and outcome in hospital were compared between the two groups.Results The age of disease onset was significantly older and the eGFR was significantly lower in female group than in male group (P＜0.05,P＜0.01).The incidence of typical chest pain and the LVEF were significantly lower while the serum NT-proNBP level was significantly higher,the left ventricular end diastolic pressure diameter was significantly longer and the CRUSADE score was significantly lower in female group than in male group (P＜0.01).The incidence of 3-blood vessel lesion was significantly higher,the diameter of implanted stents was significantly shorter in female group than in male group (P＜0.05).However,the hospital stay time was significantly longer and the incidence of angina pectoris and recurrent heart failure after myocardial infarction was significantly higher in female group than in male group following reperfusion therapy (P＜0.05,P＜0.01).Conclusion The clinical symptoms are more atypical,the lesion is severer,the heart function is poorer,the incidence of complications after myocardial infarction is higher,and the risk of bleeding is greater in elderly female STEMI patients than in elderly male STEMI patients.
