老年人急性冠状动脉综合征的抗栓治疗  

Antithrombotic therapy in elderly patients with acute coronary syndrome

作　　者：冷文修 杨进刚 杨跃进 Leng Wenxiu;Yang Jingang;Yang Yuejin(National Center for Cardiovascular Disease, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China)

机构地区：[1]中国医学科学院阜外医院国家心血管病中心,100037

出　　处：《中华老年医学杂志》2019年第1期96-101,共6页Chinese Journal of Geriatrics

基　　金：北京力生心血管健康基金会领航基金重点项目(LHJJ201510626);国家卫生和计划生育委员会公益性行业科研专项(201402001);中国医学科学院医学与健康科技创新工程重大协同项目(2016-I2M-1-009).

摘　　要：虽然老年急性冠状动脉(冠脉)综合征患者的数量和比例迅速攀升,但由于出血风险高和并发症多等原因,治疗上较年轻患者更加趋于保守。特别是在老年急性冠脉综合征的抗栓治疗方面,争议和挑战尤为突出。为此,现就目前国内外相关的研究证据进行综述。Elderly adults constitute a rapidly increasing subgroup of patients presenting with acute coronary syndrome.Due to a higher risk of bleeding and more multiple complications in the elderly, the treatment of acute coronary syndrome is more conservative in these patients than in younger patients.The scarcity of evidence from randomized controlled trials makes antithrombotic therapy in elderly patients particularly challenging and controversial.This article reviews the current evidence on antithrombotic therapy for acute coronary syndrome in the elderly.

关 键 词：冠状动脉疾病 血栓栓塞 

分 类 号：R541.4[医药卫生—心血管疾病]