不同年龄段患者无保护左主干病变介入治疗的疗效对比
Chinese Journal of Geriatric Heart Brain and Vessel Diseases(2015)
Abstract
目的 对比分析不同年龄段患者无保护左主干(UPLM)病变介入治疗的疗效.方法 收集接受UPLM病变介入治疗的患者76例,按年龄分为<70岁组34例,≥70岁组42例,对比2组患者基本临床特点、介入治疗特点和术后随访情况.结果 与≥70岁组比较,<70岁组患者LVEF[(52.4±1.4)% vs (45.4±1.2)%,P=0.00]和估算的肾小球滤过率[(60.5±2.5)ml/(min·1.73 m2) vs (53.2±1.4)ml/(min·1.73 m2),P=0.01]明显升高,而改良Gensini评分、Syntax评分和置入支架总长度明显降低(P<0.05,P<0.01).≥70岁组患者主要不良心血管事件(MACE)累计风险明显高于<70岁组.结论不同年龄段患者UPLM病变介入治疗的术后生存率相似,但年龄≥70岁患者术后MACE的累计发生率显著增高.
MoreKey words
stents,coronary vessels,coronary artery bypass,off-pump,glomerular filtration rate
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