中国医科大学学报2017，Vol.46Issue(3)：227-231,5.DOI:10.12007/j.issn.0258-4646.2017.03.009
完全血运重建策略对老年急性ST段抬高型心肌梗死合并多支血管病变患者预后的影响
Effect of Complete Revascularization Strategy on the Prognosis of Elderly Patients Suffering from Acute ST-segment Elevated Myocardial Infarction Complicated with Multivessel Disease
摘要
Abstract
Objective To investigate the effect of complete revascularization strategy on the prognosis of elderly patients suffering from acute ST-segment elevated myocardial infarction(STEMI)complicated with multivessel disease(MVD). Methods A total of 390 elderly patients(over 60 years old)suffering from acute STEMI with MVD treated by clinical revascularization administration were enrolled for the study and divided into complete revascularization group(CR group,n=139)and non-complete revascularization group(NCR group,n=251). The effect of complete re-vascularization strategy on the prognosis was then analyzed by COX regression analysis. Results Compared with the NCR group,the patients of the CR group are younger and with a higher ratio of old myocardial infarction ,as well as the average number of stents ,and the mean value of total stent length is larger. The application of calcium channel blocker for post-operation patients is rarer as well. No significant difference can be found between the two groups on the ratio of post-operation all-cause mortality,cardiac mortality,nonfatal myocardial infarction,unplanned repeat revas-cularization. Multivariate COX analysis showed that the complete revascularization had no obvious difference on the prognosis of these patients be-tween the two groups. Conclusion There is individual diversity in the revascularization strategy choosing for elderly patients of acute STEMI alongside MVD;however,the prognosis is not significantly improved.关键词
完全血运重建策略/老年/急性ST段抬高型心肌梗死/多支血管病变/预后Key words
complete revascularization strategy/elderly patients/acute ST-segment elevated myocardial infarction/multivessel dis-ease/prognosis分类
医药卫生引用本文复制引用
朱家赫,于彤彤,孙兆青..完全血运重建策略对老年急性ST段抬高型心肌梗死合并多支血管病变患者预后的影响[J].中国医科大学学报,2017,46(3):227-231,5.基金项目
辽宁省科技厅社会发展攻关计划(2011225020) （2011225020）
