Clinical features of acute coronary syndrome patients with prior ischemic stroke
10.3760/cma.j.issn.1671-7368.2019.05.013
- VernacularTitle:急性冠脉综合征合并缺血性脑卒中患者的临床特点
- Author:
Fang WANG
1
;
Hongbin MEI
;
Jun JI
;
Bing XU
;
Jing ZHANG
;
Zhimin QIAN
;
Yunan GONG
;
Jiayang LIANG
;
Shenghu HE
Author Information
1. 江苏省苏北人民医院心内科,扬州225001
- Keywords:
Acute coronary syndrome;
Ischemic stroke;
Adverse cardiovascular events
- From:
Chinese Journal of General Practitioners
2019;18(5):467-469
- CountryChina
- Language:Chinese
-
Abstract:
From November 2014 to July 2017,637 patients with acute coronary syndrome (ACS) were included in the analysis,among whom there were 48 cases with prior ischemic stroke (7.5％).The risk factors,history,severity of coronary artery disease,medication status,and incidence of adverse cardiovascular and cerebrovascular events (cardiac death,re-infarction,heart failure,stroke) were analyzed.Compare with patients without prior ischemic stroke (control group) patients with prior ischemic stroke (study group) had lower rates in administration of beta blockers [50.00％(24/28) vs.69.78％(411/589),x2=8.02,P＜0.05]and interventional therapy[56.67％(17/30) vs.81.86％(334/408),x2=11.15,P＜0.05].However,there were no significant differences in medication of dual antiplatelet,statins and angiotensin converting enzyme inhibitors or angiotensin receptor blocker between two groups (P＞0.05);and there was no significant difference in major adverse cardiovascular events between two groups (P＞0.05).In the future,more studies are needed for clinical management of this group of patients.
