不同年龄组冠心病患者冠状动脉造影特点

    Coronary angiographic characteristics of cornonary heart disease patients in different age-groups

    • 摘要: 目的:探讨不同年龄组冠心病(coronary heart disease,CHD)患者的临床及冠状动脉造影(CAG)特点。方法:将148例CHD患者,根据年龄分为中青年组(年龄<60岁,n=52)、普通老年组(年龄60~74岁,n=74)和高龄老年组(年龄>74岁,n=22),对三组患者一般资料、血生化指标及CAG结果进行分析,并经统计学处理。结果:中青年组高血压并发率低于高龄老年组(P<0.05)。中青年组以单支病变为主,而普通老年组和高龄老年组以多支病变较多(P<0.05),高龄老年组右冠状动脉病变高于中青年组(P<0.05),三组ACC/AHA积分差异无统计学意义(P>0.05),普通老年组和高龄老年组弥漫长病变多于中青年组(P<0.05)。结论:不同年龄组CHD有不同的临床和CAG特点,不同年龄人群应采取有针对性的CHD防治措施,对合理防治冠状动脉病变的发生和发展有重要意义。

       

      Abstract: Objective: To explore the clinical characteristics of angiography in patients of different ages with coronary heart disease(CHD).Methods: One hundred forty-eight CHD patients were divided into middle age-group(<60 years old),elderly group(60-74 years old) and older age-group(>74 years old).Their clinical data,biochemical indicators and coronary arteriongraphy results were compared and analyzed statistically.Results: There was less hypertension in the middle age-group than in the older age-group(P<0.05).More single-vessel lesion was found in the middle-aged,and multiple vessel diseases occurred more frequently in the elderly and the older aged(P<0.05).Right coronary artery lesions was more frequently observed in the aged than the middle-aged(P<0.05).ACC/AHA scores did not show significant statistical difference in the three groups(P>0.05).There were more diffuse lesions in the elderly group and older age-group than in the middle age-group(P<0.05).Conclusions: Coronary angiography demonstrates different characteristics for patients of different ages,and effective measures should be taken accordingly,which will be of great significance for the treatment of patients with coronary artery disease.

       

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