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冠状动脉钙化的性别与年龄分布及介入并发症的临床特征

张书宁 王聪 姚康 陆浩 黄浙勇 朱明辉 钱菊英 葛均波

老年医学与保健2018,Vol.24Issue(2):108-110,3.
老年医学与保健2018,Vol.24Issue(2):108-110,3.

冠状动脉钙化的性别与年龄分布及介入并发症的临床特征

Gender and Age Distribution of Coronary Artery Calcification and Clinical Complications Associated with Percutaneous Coronary Intervention

张书宁 1王聪 1姚康 1陆浩 1黄浙勇 1朱明辉 1钱菊英 1葛均波1

作者信息

  • 1. 复旦大学附属中山医院心内科,上海市心血管疾病临床医学中心,上海市心血管病研究所,复旦大学泛血管医学研究院,上海200032
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摘要

Abstract

Objective To investigate the occurrence of coronary artery calcification,the gender and age distribution and clinical complications of interventional therapy in patients undergoing coronary angiography.Methods A retrospective study was made to cases with coronary calcified lesions verified by coronary angiography during the period from Jan.,2009 to Feb.,2015 in Zhongshan Hospital affiliated to Fudan Univerty,the data on the number of patients with coronary artery calcification,and the number of those undergoing percutaneous coronary intervention (PCI),undergoing coronary artery bypass surgery (CABG),receiving intravascular ultrasound (IVUS) examination,or receiving coronary CTA examination,as well as the number of clinical complications,were collected.Results 6 742 cases with coronary artery calcification were enrolled,taking up 18.2% of all the cases undergoing coronary angiography;males aged from 60 to 80 years old were high risk population,taking up 71.3 % of the cases with coronary artery calcification;2 872 cases (42.6 %) received drug therapy or CABG,3 870 cases (57.4%) received PCI;IVUS guided interventional therapy were performed in 551 PCI patients (14.2 %),and coronary CTA examination was performed in 6 % of the enrolled patients;the success rate of PCI for coronary calcified lesions was 99.5 %,and the most common complication was coronary artery dissection (81.2 % of all complications);no death occurred.Conclusions The incidence of coronary artery calcification is 18% in patients undergoing coronary angiography,and male patients aged 60 years old and over were of high risk of coronary artery calcification;PCI is a safe and effective procedure;coronary artery dissection is the most common complication.

关键词

冠状动脉/钙化/经皮冠脉介入治疗/流行病学

Key words

coronary artery/calcification/percutaneous coronary intervention/epidemiology

引用本文复制引用

张书宁,王聪,姚康,陆浩,黄浙勇,朱明辉,钱菊英,葛均波..冠状动脉钙化的性别与年龄分布及介入并发症的临床特征[J].老年医学与保健,2018,24(2):108-110,3.

基金项目

国家自然科学基金面上项目(81570317) (81570317)

上海市重中之重临床医学中心建设项目(2017ZZ01004) (2017ZZ01004)

老年医学与保健

OACSTPCD

1008-8296

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