论文部分内容阅读
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 ,并加以控制
Objective: To investigate the risk factors of recurrent cardiac events in elderly patients with coronary heart disease. Methods: A total of 2 96 elderly patients with coronary heart disease (CHD) were observed from 2 to 7 years. Univariate and multivariate analysis were performed on the occurrence of cardiac events and their risk factors and clinical features. Results: Cardiac recurrence occurred in 36 patients (12.16%). There are nine clinical risk factors can cause a significant increase in recurrent cardiac events, complex arrhythmia, painless myocardial ischemia, left ventricular hypertrophy, hypertension, TC / HDL- C ≥ 4.3 is independent predictors of recurrent cardiac events. Conclusion: In order to improve the prognosis of elderly patients with coronary heart disease, these clinical risk factors should be given sufficient attention and be controlled