摘要
目的评估急诊直接PCI在老年急性心肌梗死患者中应用的可行性、安全性及有效性。方法选择2015年1月~2016年12月在我院心内科住院的急性心肌梗死患者364例,其中≥75岁组90例,<75岁组274例。主要观察指标:手术成功率、围术期相关并发症及住院期间死亡和主要不良心血管事件(MACE)发生率。结果≥75岁组手术成功率94.4%,术后TIMI 3级血流达标率87.8%,围术期手术相关并发症9例(10.0%)。≥75岁组住院期间病死率和MACE发生率明显高于<75岁组(12.2%vs 2.9%,P=0.001;16.7%vs 5.1%,P=0.000)。结论对于年龄≥75岁的急性心肌梗死患者,经桡动脉急诊直接PCI是一种安全、可行、有效的治疗方案。
Objective To assess the feasibility,safety and efficacy of primary PCI in elderly patients with AMI.Methods Three hundred and sixty-four AMI patients were divided into≥75 years old group（n=90）and 75 years old group（n=274）.The successful operation rate,preoperative complication rate,mortality and incidence of major adverse cardiovascular events（MACE）were recorded during their hospital stay time.Results The successful operation rate was 94.4%,the postoperative TIMI 3 blood flow rate was 87.8%,and the preoperative complication rate was10.0%in ≥75 years old group.The mortality and incidence of MACE were significantly higher in≥75 years old group than in75 years old group during the hospital stay time（12.2% vs 2.9%,P=0.001;16.7% vs 5.1%,P=0.000）.Conclusion Transradial primary PCI is a safe,feasible and effective therapy for≥75 years old AMI patients.
作者
徐争鸣
李田昌
陈宇
李贤峰
曹毅
裘毅刚
张博阳
王志超
陈星宇
Xu Zhengming, Li Tianchang, Chen Yu, Li Xianfeng, Cao Yi, Qiu Yigang, Zhang Boyang, Wang Zhichao, Chen Xingyu(Department of Cardiology ,Chinese PLA Navy General Hospital ,Beijing 100048, Chin)
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2018年第3期250-252,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金
北京力生心血管健康基金会领航基金(LHJJ20158420)
2015年度海军总医院创新培育项目(CXPY201530)
关键词
心肌梗死
手术中并发症
桡动脉
myocardial infarction
intraoperative complications
radial artery
