摘要
目的比较≥75岁和<75岁两组急性心肌梗死的老年人(AMI)的治疗及近期预后。方法急性心肌梗死128例,分成两个不同年龄组,采集患者的临床资料、治疗手段、并发症。观察一个月,观察终点为死亡或再梗。结果≥75岁58例,<75岁70例,≥75岁患者近期死亡率明显升高(P<0.01),AMI后左心衰发生率较高(P<0.01)。接受溶栓(34.5%比62.9%,P<0.01)冠状动脉成形术和冠脉搭桥术(17.2%比37.1%,P<0.05)明显减少。结论给予老年人适当的血运重建治疗可改善其预后,降低死亡率。
Objective Comparison of outcome and therapy in patients with acute myocardial infarction aged ≥75 years with that in younger patients. Methods 128 patients were divided into two age groups:≥75 and< 75 years.The characteristics,therapy and clinical outcome were recorded and followed up one month. The end point were death or reinfarction. Restlts There were 58 patients age≥75 years old and 70 patients less than 75 gears old. Hospital mortality was much higher in elder patients than in Aged(P< 0.01). The elderly had a higher incidence of congestive heart failure(P< 0.01). Only 34.5% of the elderly and 62.9% of the younger patients were considered eligible for thrombolysis(P< 0.01).The elder were less likely to undergo cardiac catheterization or revascularization(17.2% vs 37.1% P< 0.05). Conclusions More aggressive reperfusion straregies may improve prognoses and decrease the proportion of death.
出处
《老年医学与保健》
CAS
2002年第2期100-102,共3页
Geriatrics & Health Care
关键词
老年人
急性心肌梗死
治疗
预后
年龄因素
Acute disease
myocardial infarction
Aged
Mortality
Age factors
