首页|期刊导航|中华医学杂志（英文版）|Severe coronary artery disease in Chinese patients with abdominal aortic aneurysm: prevalence and impact on operative mortality
中华医学杂志（英文版）2012，Vol.125Issue(6)：1030-1034,5.DOI:10.3760/cma.j.issn.0366-6999.2012.06.013
Severe coronary artery disease in Chinese patients with abdominal aortic aneurysm: prevalence and impact on operative mortality
Severe coronary artery disease in Chinese patients with abdominal aortic aneurysm: prevalence and impact on operative mortality
摘要
Abstract
Background Little is known about the prognosis of coronary artery disease (CAD) in Chinese patients with abdominal aortic aneurysm (AAA).The aim of this study was to evaluate the predictors of in-hospital all-cause mortality of severe CAD in Chinese patients who were hospitalized for AAAs.Methods From January 2003 to August 2009,368 patients were operated on for AAAs.The clinical characteristics were retrospectively collected.The primary outcome was the in-hospital all-cause mortality.The clinical risk factors were subjected to a multivariate analysis to determine the predictors of in-hospital all-cause mortality.Results During their hospitalization,23％ (85/368) of the patients underwent coronary angiography,which revealed significant lesions in 93％ (79/85) of the patients.In 25 cases,coronary artery bypass grafting (CABG) was performed before the AAA repair and in 16 cases of percutaneous coronary intervention (PCI) was performed.Ten patients with AAA alone died before discharge,and eight patients diagnosed with AAA combined with CAD died.There was no statistical difference in the postoperative death between the two groups.The logistic analysis showed that age ＞70 years and CAD (vessels ≥2) were the significant factors in predicting the adverse clinical outcome.Conclusions The prevalence of severe CAD in Chinese patients with AAAs seemed lower than those that were reported.Myocardial evaluation and subsequent revascularization before AAA surgery could improve the clinical outcome for these patients who have severe CAD.关键词
abdominal aortic aneurysms/coronary artery disease/coronary artery bypass grafting/percutaneous coronary interventionKey words
abdominal aortic aneurysms/coronary artery disease/coronary artery bypass grafting/percutaneous coronary intervention引用本文复制引用
SUN Tao,CHENG Yu-tong,ZHANG Hong-ju,CHEN Shun-hua,ZHANG Dong-hua,HUANG Ji,ZHANG Jing-mei,LI Zhi-zhong..Severe coronary artery disease in Chinese patients with abdominal aortic aneurysm: prevalence and impact on operative mortality[J].中华医学杂志（英文版）,2012,125(6):1030-1034,5.基金项目
This study was supported by a grant from the National Natural Science Foundation of China (No.81000130). （No.81000130）
