12294例不同年龄患者冠状动脉造影的特征及危险因素研究  

The risk factors and coronary angiographic characteristics in different age groups of patients

作　　者：赵佳[1] 李文宇[2] 丛洪良[2] 

机构地区：[1]天津医科大学研究生院,天津300070 [2]天津市胸科医院心脏科

出　　处：《中华老年心脑血管病杂志》2009年第10期762-764,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的观察不同年龄患者冠状动脉造影特征,分析其危险因素及病变特点。方法选择拟诊冠心病行冠状动脉造影的患者12294例,根据年龄将<60岁患者作为A组(6520例),≥60岁患者作为B组(5774例)。应用冠状动脉造影观察冠状动脉病变特点。结果A组男性多见,多具有吸烟习惯和冠心痛家族史,B组多合并高血压、糖尿病和高脂血症。A组单支病变发生率高,而B组多支病变发生率高。结论不同年龄的患者冠状动脉病变特征和危险因素不同,提示不同年龄患者预防冠心病各有侧重。Objective To observe characteristics of coronary angiography in different age groups of patients and analyze the risk factors and the characteristics of lesions. Methods 12 294 patients with suspected coronary heart disease（CHD） and undergoing coronary angiography were enrolled. The patients were divided into group A（6 520 cases 〈60 years old） and group B（5 774 cases ≥60 years old）. The clinical and angiography details were recorded and retrospectively analyzed. Results Males were more common in group A. Most patients in group A had smoking habit and family history of CHD,while most patients in group B had medical history of hypertension, diabetes and hyperlipidemia. Single vessel disease was more common in group A, compared with more multiple vessel disease in group B. Conclusion Different age groups of patients have different characteristics of lesions and risk factors,indicating that different emphases showld he put on prevention of CHD for patients of different ages.

关 键 词：冠状血管造影术 冠状动脉疾病 危险因素 年龄因素 吸烟 

分 类 号：R541.4[医药卫生—心血管疾病] R541.401[医药卫生—内科学]