Interventional revascularization therapy for the reconstruction of blood circulation in aged patients with coronary heart disease: analysis of clinical curative effect
10.3969/j.issn.1008-794X.2017.01.002
- VernacularTitle:老年冠心病患者介入治疗血运重建方式临床疗效分析
- Author:
Ya-Mei YU
1
;
Yun-Hua YU
;
Ran LI
;
Ning YU
;
Ming SHEN
;
Li-Zhi BAO
;
Xing ZHENG
Author Information
1. 200433,上海 第二军医大学附属长海医院心血管内科
- Keywords:
the aged;
percutaneous coronary intervention;
complete revascularization;
incomplete revascularization;
prognosis
- From:
Journal of Interventional Radiology
2017;26(1):6-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of percutaneous cardiac intervention (PCI) on the clinical prognosis in aged patients with coronary heart disease (CHD) involving multiple coronary arteries who obtained complete revascularization (CR) or incomplete revascularization (ICR) after PCI.Methods A total of consecutive 257 aged patients (＞75 years old) with confirmed CHD that involved multiple coronary arteries,who were admitted to authors' hospital during the period from January 2015 to September 2015 to receive PCI,were enrolled in this study.Based on the complete revascularization (CR) or incomplete revascularization (ICR) after PCI,the patients were divided into CR group and ICR group.The basic clinical data,PCI parameters and the occurrence of major adverse cardiovascular and cerebrovascular events (MACCE) in hospitalization days and in the follow-up period were compared between the two groups.Results CR group included 171 patients (66.53％) and ICR group included 86 patients (33.47％).The hypertension history,diabetes history,diagnosis of acute non-ST segment elevation myocardial infarction or myocardial occlusion disease at admission,chest tightness,palpitation and other discomfort symptoms occurring in one and 3 months after PCI,and re-hospitalization rate in ICR group were significantly higher than those in CR group (P＜0.05).No statistically significant differences in the incidence of MACCE during hospitalization days and at one,3 and 6 months after PCI existed between the two groups (P＞0.05).Conclusion In aged patients with CHD that affects multiple coronary arteries,ICR does not increase the risk of MACCE after PCI,although the re-hospitalization rate and the incidence of postoperative discomfort symptoms will be increased.The long-term prognosis needs to be further studied.
