复杂的皮肤穿透冠状动脉干预的流行率和预后影响在八岁以上的人群中
Alessandro Spirito1, Michael Gao1, Samantha Sartori1
1The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
概括
复杂的皮肤穿透冠状动脉干预 (PCI) 在八十多岁的人显著增加重大不良心血管事件 (MACE) 和在一年内出血的风险. 这些发现凸显了对减轻老年人群并发症的策略的需要.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 老年医学 老年医学
背景情况:
- 接受穿皮冠状动脉干预 (PCI) 的80岁以上人数正在增加.
- 在这个老年人群中,复杂的PCI (CPCI) 的影响尚不清楚.
研究的目的:
- 评估复杂PCI在八十岁人群中的患病率和预后影响.
- 评估CPCI与主要不良心血管事件 (MACE) 和出血之间的关联.
主要方法:
- 在2012年至2019年期间,对2657名经过PCI的八十岁生进行了回顾性分析.
- 根据PCI复杂性分类的患者 (动脉切除术,支架长度,支架数量,血管参与等). ) 的情况.
- 主要结局:1年MACE (所有原因死亡,MI,TVR);次要结局:严重出血.
主要成果:
- 52%的八十岁老人接受了CPCI,通常有更多的并发症.
- CPCI与更高的1年MACE (16.6%对11.1%) 相关,由MI和TVR驱动.
- 此外,CPCI还显著增加了大出血风险 (10%与5.8%相比).
结论:
- 八十岁的复杂PCI与MACE和出血的风险增加有关.
- 心肌梗塞和目标血管再血管化的更高率有助于MACE.
- 实施减少并发症的策略对于接受CPCI的八十岁人来说至关重要.
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