性别对急性冠状动脉综合征介入治疗预后的影响  

The Impact of Gender on the Prognosis of Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary ntervention

作　　者：郑建勇[1] 李田昌[1] 史旭波[1] 

机构地区：[1]首都医科大学附属北京同仁医院心血管疾病诊疗中心,北京10073

出　　处：《中国医药导刊》2007年第2期113-115,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨性别对急性冠状动脉综合征(ACS)介入治疗预后的影响。方法:分析比较363例ACS患者(男性244例,女性119例)的临床和冠脉造影病变特征、介入成功率、院内和随访(22±13)个月主要心脏不良事件(MACE)的发生率。结果:男性多支病变的比例较高,侧支循环较多,而女性双支病变的比例较高,钙化病变多。两组介入成功率(91．4%vs 94．1%,P=0．361)、院内MACE(5．7%vs 5．9%,P=0．956)和随访期间MACE(13．3%vs 13．4%,P=0．982)相似。结论:本研究中性别不是影响ACS介入治疗近期和远期预后的重要因素。Objective： To investigate the impact of gender on the prognosis of patients with acute coronary syndrome （ACS） undergoing percutaneous coronary intervention （PCI）. Methods： 363 patients with ACS （male 244 versus female 119） undergoing PCI are evaluated on the clinical characteristics, angiographic characteristics, intermediate success and major adverse cardiac events （MACE） inhospital and during （22±13） months＇ follow-up. Results： Men have more multivessel disease and collateral circulation, while women have more two-vessel disease and calcified lesions. The intermediate success （91.4% vs 94.1%, P=0.361 ） and the incidence of MACE in hospital （ 5.7% vs 5.9%, P=0.956） and during followup C 13.3% vs 13.4%,P=0.982） are similar between the two groups. Conclusion： In our research ,there is no gender gap in the prognosis of patients with ACS treated with PCI on the short term and long term basis.

关 键 词：急性冠脉综合征 性别 经皮冠脉介入 

分 类 号：R541.4[医药卫生—心血管疾病]