Related factors and their contribution for hemodynamic abnormalities in elderly patients with coronary heart disease after PCI
10.3969/j.issn.1009-0126.2025.08.006
- VernacularTitle:老年冠心病患者经皮冠状动脉介入治疗术后血流动力学异常的相关因素及贡献度
- Author:
Dongsheng CHEN
1
;
Xianting LUAN
1
Author Information
1. 467000 平顶山市第二人民医院心血管内科
- Publication Type:Journal Article
- Keywords:
coronary heart disease;
percutaneous coronary intervention;
hemodynamics;
risk factors
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2025;27(8):1001-1004
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of hemodynamic abnormalities in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI)and to determine the contribution of these factors.Methods A total of 150 CHD patients undergoing PCI in our de-partment from January 2021 to December 2023 were prospectively recruited in the study.Accord-ing to the hemodynamic conditions,they were divided into a normal group(104 cases)and an abnor-mal group(46 cases).The causes of hemodynamic abnormalities were analyzed,and attributable risk percentage and population attributable risk percentage of these factors were estimated with logistic regression analysis.Results The hemodynamic abnormalities incidence was 30.7％.The abnormal group had significantly larger proportions of diabetes,smoking,and failures to take medication on time and in the prescribed dosage after surgery,longer stent length,and more stents,but lower level of high density lipoprotein cholesterol(HDLC)when compared with the normal group(P＜0.05,P＜0.01).Multivariate logistic regression analysis identified the following risk factors,estimated attributable risk percentage and population attributable risk percentage,diabetes,HDL-C,stent length,smoking,number of stents,and postoperative medication use in turn accord-ing to their contribution levels.Conclusion Rather complex causes lead to hemodynamic abnor-malities in CHD patients after PCI.In order of the contribution levels from high to low,they are diabetes,HDL-C,stent length,smoking,number of stents,and postoperative medication use.
