冠心病男性患者经皮冠脉介入治疗的预后预测因素  

Prognostic factors of male patients with acute coronary syndrome after percutaneous coronary intervention therapy

作　　者：许澎[1] 张高峰[1] 伍旭升[1] 乔祺[1] 俞利群[1] 

机构地区：[1]复旦大学附属上海市第五人民医院心内科,上海200240

出　　处：《介入放射学杂志》2005年第2期125-127,共3页Journal of Interventional Radiology

摘　　要：目的　探讨影响男性患者经皮冠脉介入治疗 (PCI)中期预后的危险因素。方法　 10 4例男性冠心病患者入选 ,包括急性心肌梗死 6 1例 ,不稳定性心绞痛 4 3例。随访 (11.9± 8.7)个月。综合患者的人群因素、无创检查、合并症情况和冠状动脉造影情况 ,进行Logistic回归分析。结果　分析提示 ,以重要心脏不良事件为因变量 ,前降支近中段病变是有意义的预测因素 (P <0 .0 5 ) ,相关系数为 2 2 .0 0。其他因素为无意义变量 ,P >0 .0 5。Objective To study the prognostic risk factors of male patients with coronary heart disease in stent placement era.Methods One hundred and four patients were enrolled in this study (aged 64.9 ±9.6 years) including 61 diagnosed as acute myocardial infarction, and 43 as unstable angina with followed up 11.9 ±8.7 months. All factors including demographic factors,non-interventional work-up, associated clinical complications and results of coronary artery angiography reached a model of Logistic regression analysis. Results Based on MACE (major adverse cardiac events), as quantitative factors, diseased proximal middle left anterior descending artery was a significant independent variable (P <0.05), and its coefficient was 22.00.Conclusions Diseased proximal middle left anterior descending coronary artery is the prognostic factor of MACE in male patients with acute coronary syndrome.

关 键 词：经皮冠脉介入治疗 预测因素 男性患者 Logistic回归分析 预后 心脏不良事件 不稳定性心绞痛 急性冠脉综合征 急性心肌梗死 冠状动脉造影 P〉0.05 冠心病患者 危险因素 人群因素 无创检查 相关系数 前降支 合并症 因变量 

分 类 号：R541.4[医药卫生—心血管疾病]