摘要
目的 :比较高龄急性心肌梗死 (AMI)患者接受介入和非介入治疗住院期间的疗效。方法 :AMI患者 133例 ,其中 76例于发病 2 4 h内行经皮冠状动脉介入治疗 (PCI) ,5 7例行非介入治疗 ,分析两组的临床经过 ,比较住院期间不良心脏事件发生率。结果 :介入组 PCI病例成功率 99% ,病变成功率 98% ,手术相关并发症发生率为 5 % ,术中无死亡病例 ;介入组住院病死率明显低于非介入组 (11% vs 2 5 % ,P<0 .0 5 ) ,不良心脏事件发生率介入组亦明显低于非介入组 (17% vs 4 4 % ,P<0 .0 1) ,两组住院天数无显著性差异 ,平均 CCU天数介入组明显少于非介入组 (4± 5 vs 8± 6 d,P<0 .0 1)。结论 :高龄 AMI行介入治疗者住院期间病死率和不良心脏事件发生率显著降低 ,其近期疗效明显优于非介入治疗。
AIM: To compare the in-hospital outcomes of elderly patients with acute myocardial infarction(AMI) treated by invasive or non-invasive protocol. METHODS:133 consecutive patients hospitalized for AMI were registered, including 76 patients who underwent emergency percutaneous coronary intervention(PCI) within 24 h after the onset of AMI and 57 patients who received conservative non-invasive therapies. Clinical characteristics and in-hosptial adverse cardiac event rates of these two divisions were analyzed. RESULTS: In the invasive group, success rate of patients and lesions was 99% and 98% respectively, procedure related complication occurred in 4 cases(5%), and no patient died during the operative procedures. Invasive group had a lower in-hospital mortality (11% vs 25%, P<0.05) and total adverse cardiac event rates (17% vs 44%,P<0.01) compared with non-invasive group. There were no significant differences in the average hospitalized duration between the two groups. The CCU duration of the invasive group was shorter than that of the non-invasive group (4±5 d vs 8±6 d, P<0.01). CONCLUSION: In elderly AMI patients, invasive treatment can significantly decrease in-hospital mortality and adverse cardiac event rate compared with non-invasive treatment, thus gaining a better short-term outcome.
出处
《心脏杂志》
CAS
2004年第3期255-257,260,共4页
Chinese Heart Journal
关键词
心肌梗塞
急性
老年人
血管成形术
经皮
经腔
myocardial infarction, acute
elderly
angioplasty, percutaneous, transluminal
