老年冠状动脉扩张患者临床特征分析  

Clinical features of elderly patients with coronary artery ectasia

作　　者：黄巧娟[1,2,3] 李小林[1] 李莎[1] 郭远林[1] 朱成刚[1] 徐瑞霞[1] 蒋立新[1] 陈蒙华[4] 李建军[1] 

机构地区：[1]中国医学科学院中国协和医科大学阜外心血管病医院血脂中心,北京100037 [2]阜外心血管病医院 [3]广西医科大学第一附属医院心内科 [4]广西医科大学第一附属医院西院心内科

出　　处：《中华老年心脑血管病杂志》2014年第5期471-474,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的总结老年冠状动脉扩张(CAE)患者的临床特征。方法回顾性分析有完整临床资料及冠状动脉造影资料的CAE患者525例,根据年龄分为老年组(年龄≥65岁)129例和非老年组(年龄<65岁)396例。结果老年组CAE的检出率为0.33%。与非老年组比较,老年组患者女性比例(30.0%vs 10.1%)、合并轻度狭窄(9.3%vs 4.0%)、3支血管病变(60.5%vs 45.2%)、Markis分型中Ⅳ型比例(55.0%vs 40.2%)明显升高(P<0.05,P<0.01);2组无合并狭窄、合并重度狭窄、1支、双支血管病变、累及冠状动脉各支血管、Markis分型Ⅰ、Ⅱ、Ⅲ型、药物治疗、介入治疗、冠状动脉旁路移植术、院内病死率比较,差异无统计学意义(P>0.05)。结论老年CAE患者在冠状动脉造影人群的发生率为0.33%;不同年龄具有不同的冠心病危险因素及CAE特征。Objective To summarize the clinical features of elderly patients with coronary artery ectasia（CAE）.Methods The clinical and coronary arteriographic data about 525CAE patients were retrospectively analyzed.The patients were divided into ≥65years old group（n=129） and65years old group（n=396）.Results The incidence of CAE was 0.33%in≥65years old group.The number of female patients and the incidence of mild coronary stenosis,3-vessel lesions and Markis typeⅣ were significantly higher in≥65years old group than in〈65years old group（P〈0.05,P〈0.01）.No significant difference was found in coronary stenosis,1-or 2-vessel lesions,involved coronary arteries,Markis typesⅠ-Ⅲ,drug and intervention treatment,coronary bypass and hospital mortality between the two groups（P〉0.05）.Conclusion The incidence of CAE is 0.33%in elderly patients.The risk factors for coronary heart disease and the clinical features of CAE are different in patients at different ages.

关 键 词：冠状动脉疾病 冠状血管造影术 心肌缺血 急性冠状动脉综合征 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]