摘要
目的 :分析老年心脏性猝死 (SCD)的临床特点。方法 :回顾 37例 6 1～ 84岁 SCD者的临床资料 ,其中部分患者曾行冠状动脉造影或尸检。结果 :老年 SCD者中 81.1%生前有冠心病 ,5 6 .8%患冠心病和高血压 2种疾病。冠状动脉造影或尸检可见冠状动脉血管粥样硬化病变广泛、严重。男性和伴有左室功能不全者 SCD的危险增高。结论 :为减少老年冠心病和高血压患者发生 SCD,临床需采取积极措施 ,改善患者心肌缺血 。
Objective:To study the clinical features of aged patients with sudden cardiac death (SCD).Methods:The clinical data of 37 SCD patients aged between 6184 years old was analyzed retrospectively.Coronary artery angiography and autopsy were performed in part of the patients.Results:81.1% of the patients had coronary heart disease and 56 8% of the patients had coronary heart disease accompanied by hypertension.The results of coronary artery angiography and autopsy revealed extensive and serious atherosclerotic coronary artery disease in every case.Male patients and patients with left ventricular dysfunction had higher SCD risk.Conclusions:Clinical efforts aimed at improving myocardial function are mandatory for the decrease of SCD risk in aged patients with coronary heart disease and hypertension.
出处
《中国危重病急救医学》
CAS
CSCD
2000年第11期675-676,共2页
Chinese Critical Care Medicine
关键词
心脏性猝死
老年人
临床特点
sudden cardiac death
aged
coronary artery disease
