老年冠心病再发心脏事件的危险因素分析  

Analysis of risk factors on heart event reoccurrence in elderly patients with coronary heart disease

作　　者：王秀英[1] 王绍红[1] 张克峰 

机构地区：[1]济宁医学院,山东省济宁市272113 [2]山东金乡县卫生学校

出　　处：《心血管康复医学杂志》2000年第2期22-24,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :探讨老年冠心病再发心脏事件的危险因素。方法 :观察 2 96例老年冠心病患者 2～ 7年 ,对其心脏再发事件发生情况及其危险因素和临床特征进行单因素和多因素分析。结果 :36例 (12 .16 % )患者发生心脏再发事件。有 9个临床危险因素可促使心脏再发事件显著增加 ,复杂心律失常、无痛性心肌缺血、左室肥厚、高血压、TC/ HDL- C≥ 4.3是再发心脏事件的独立预报因素。结论 :为改善老年冠心病患者的预后 ,对上述临床危险因素应予以足够的重视 。Objective:To explore the risk factors of heart events reoccurrence (HER)in elderly patients with coronary heart disease (CHD) Methods: 296 elderly patients with CHD were followed up for 2~7 years,HER and its risk factors,clinical property were analysed by univariate analysis and coxanalysis.Results: HRE happened in 36 cases(12 16%).There were 9 clinical factors which increased the risk of HER Complex ventricular arrhythmias,silent myocardial ischemia,left ventricular hypertrophy,hypertension and TC/HDL C≥4 3 were important independent forecasting factors of HRE Conclusion:To improve the prognosis of CHD in elderly patients,risk factors of HER above must be paid attention to and be controlled Author′s address Jining Medical College,Jining,272113

关 键 词：冠心病 心脏再发事件 预后 老年人 

分 类 号：R541.407[医药卫生—心血管疾病]