踝臂指数与老年冠心病患者发生心血管事件的相关性  

The Relationship between Ankle-brachial Index and Cardiovascular Events in Elderly Patients with Coronary Heart Disease

作　　者：刘国樑[1] 秦明照[1] 

机构地区：[1]首都医科大学附属北京同仁医院心血管中心,北京100730

出　　处：《中国医药导刊》2011年第8期1331-1332,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨踩臂指数与老年冠心病患者发生心血管事件的相关性。方法:483例(年龄≥60岁)经冠脉造影诊断的冠心病患者,分为PAD组(ABI≤0.9,n=144)和非PAD组(ABI>0.9,n=339),随访1年。结果:PAD组共发生心血管事件(心血管死亡、非致死性心肌梗死、不稳定心绞痛住院、冠状动脉血运重建)49例(34.0%),高于PAD组的59例(17.4%);(P=0.001)。预测心血管事件的独立危险因素为:ABI(OR=2.45),糖尿病(OR=2.01),年龄(OR=1.74),陈旧心肌梗死(OR=1.65)。结论:ABI是预测老年冠心病患者发生心血管事件的独立危险因素。Objective：To explore the relationship between ankIe-brachial index （ABI） and cardiovascular events in elderly patients with coronary heart discase.Methods：A tt）tal of 483 （aged 61） years and above） paticms diagnosed as coronary heart disease by coronary angiography, were assigned to PAD grouplABI〈0.9,n=144 ）and no-PAl） group （ABT〉0.9,n =339）.Follow up for 1 year.Results：During follow up,there were 49 cardiovascular evcnts （ cardiac death,non fatal myocardial infarction,hospitalized for unstable angina and coronary artery revaseularization） in PAD group at 34.0%.more than 59 in no-PAl） group at 17.42%, （P=0,001）.The independence risk factors of cardiovascular events were ABl（OR：：2,45）,diabetes mellitus（OR=2.01）,age（OR=1.74）and old myocardial infarction（OR=1.65）. Conelusion：ABT was an independent predict factor of cardiovascular events in elderly patients with coronary heart disease,

关 键 词：踝臂指数 冠心病 心血管事件 老年 

分 类 号：R541.4[医药卫生—心血管疾病]