接受初级皮肤冠状动脉干预的老年患者的临床特征和结果:观察性队列研究
Ahmed Hassan1, Amr Yosry Emam2, Mohammed Thabet2,3
1Cairo University, Egypt.
Global heart
|January 6, 2025
概括
在埃及,接受ST升高心肌梗塞 (STEMI) 初级皮肤穿冠状动脉干预 (pPCI) 的老年患者在医院死亡率和并发症较高. 八代人面临着特别高的风险,突出了对量身定制的护理策略的需求.
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:
- 全球人口老龄化增加了老年人心血管疾病的发病率.
- 初级穿皮冠状动脉干预 (pPCI) 是ST升高心肌梗塞 (STEMI) 的标准,但老年人的结果各不相同.
- 在非洲老年人群中对pPCI结果的数据有限.
研究的目的:
- 研究老年STEMI患者的pPCI患者特征和医院治疗结果.
- 在上埃及接受pPCI的老年人和年轻患者之间的结果进行比较.
主要方法:
- 对3627名连续pPCI患者的观察性队列研究 (2014年1月 - 2023年6月).
- 老年人定义为≥70岁 (15.9%的队列);八十岁以上的人为2.8%.
- 年龄组之间的临床特征,手术细节和住院结果的比较.
主要成果:
- 老年患者患高血压,慢性病 (CKD) 的比率更高,基利普级更差,左侧主要干部受损率更高.
- 老年人 (14.1%) 与年轻患者 (4%) 的住院死亡率明显高,八十岁以上的患者为23.3%.
- 在老年人中观察到较高的对比诱导性脏病和严重出血率.
结论:
- 对STEMI进行pPCI的老年患者表现出更高的并发症负担和更糟糕的结果.
- 八代人代表一个特别高风险的子组,死亡率显著增加.
- 辐射方法在老年人中使用较少,可能会影响结果.
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