75岁或以上的NSTEMI患者的侵入性与保守性管理
Mengjin Hu1,2, Xiaosong Li1, Yuejin Yang1
1Fuwai Hospital State Key Laboratory of Cardiovascular Disease, Beijing - China.
Arquivos brasileiros de cardiologia
|May 31, 2023
概括
侵入性治疗可以降低非ST段升高心肌梗塞 (NSTEMI) 的老年患者心肌梗塞和主要心血管不良事件的风险. 然而,它可能会增加85岁及以上的人的出血风险.
科学领域:
- 心脏病学 心脏病学
- 老年医学 老年医学
- 干预心脏病学 干预心脏病学
背景情况:
- 对于经历非ST段升高心肌梗塞 (NSTEMI) 的老年患者 (≥75岁) 进行侵入性治疗的疗效需要澄清.
- 这项研究旨在评估侵入性策略在这个人口群体中的有效性.
结论:
- 侵入性治疗在减少老年NSTEMI患者的心肌梗塞,MACE和复血管化率方面具有显著的益处.
- 在接受侵入性手术的85岁及以上的患者中观察到潜在的严重出血风险增加.
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