Long-term outcome of very old coronary heart disease patients after percutenous coronary intervetion
10.3969/j.issn.1009-0126.2018.03.006
- VernacularTitle:高龄冠心病患者介入治疗远期预后分析
- Author:
Lin XIANG
1
;
Dan LUO
;
Wei YANG
;
Ying WANG
;
Wenjia LI
;
Wei ZHANG
;
Yanping REN
;
Xianming SU
Author Information
1. 710061,西安交通大学第一附属医院老年心血管内科
- Keywords:
coronary disease;
age factors;
arrhythmias,cardiac;
death,sudden,cardiac;
prognosis;
percutaneous coronary intervention
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2018;20(3):247-249
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the effect of PCI on quality of life in very old CHD patients.Methods One hundred and ninety-six ≥80 years old CHD patients were divided into PCI group (n=92) and drug therapy group (n=104).Their clinical data were retrospectively analyzed.The patients were followed up for 12 months during which non-event survival rate,readmission rate,and incidence of recurrent arrhythmia,cardiogenic death,bleeding events were recorded.Results The incidence of 3-vessel lesions and serum creatinine level were significantly higher in PCI group than in drug therapy group (70.65％ vs 25.00％,82.63±25.35 μmol/L vs 71.09±22.71 μmol/L,P＜0.01).The non-event survival rate was significantly higher while the readmission rate was significantly lower in PCI group than in drug therapy group (66.30％ vs 50.96％,25.00％ vs 44.23％,P＜0.05).No significant difference was found in recurrent arrhythmia and cardiogenic death between the two groups (P＞0.05).Conclusion PCI can effectively improve the quality of life in very old CHD patients.
