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首页> 外文会议>International Congress on Coronary Artery Disease >Outcomes of Medical and Interventional Therapy in Elderly Patients with Acute Coronary Syndromes
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Outcomes of Medical and Interventional Therapy in Elderly Patients with Acute Coronary Syndromes

机译：老年急性冠状动脉综合征的老年患者的医疗和介入治疗结果

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The study examined outcomes in a registry of 449 elderly patients > 70 years) hospitalized for acute coronary syndromes. Outcomes were examined in relation to baseline characteristics and treatment options. Patients selected for coronary angiography and subsequent revascularization (RV) were more likely to be male (71.7%, p<0.001). In contrast, 52% of medically treated were male. Patients selected for RV were more likely to have suffered an acute MI (35.8% vs 26.2%, p=0.055), have had previous percutaneous coronary intervention (22.6% vs 13.2%. p=0.02) but less likely to have heart failure on admission (17.1% vs 28.2% of medically treated, p=0.02). Patients in their eighth and ninth decades were equally as likely to undergo RV. Two thirds (67.8%) of patients undergoing RV experienced symptomatic improvement at 16 months follow-up vs 46.5% of patients treated medically (p=0.001). Two year survival rate was 82.3% for patients selected for RV and 75.3% for those treated medically (log rank p=0.18).
机译：该研究在449名老年患者的注册表中进行了审查的成果> 70年）住院治疗急性冠状动脉综合征。检查结果与基线特征和治疗方案有关。选择用于冠状动脉造影和随后的血运重建（RV）的患者更可能是雄性（71.7％，P <0.001）。相比之下，52％的医学治疗的是雄性。选择为RV的患者更有可能遭受急性MI（35.8％vs26.2％，P = 0.055），先前经皮冠状动脉干预（22.6％vs13.2％。P = 0.02），但不太可能有心脏衰竭入学（17.1％Vs 28.2％的医学治疗，P = 0.02）。患者在第八岁和第九十年中同样可能接受RV。接受RV的患者的三分之二（67.8％）患有16个月的症状改善，在医学治疗的患者的情况下效应46.5％（p = 0.001）。对于所选择的患者，两年的存活率为82.3％，对于医学治疗的那些，75.3％（对数级别P = 0.18）。

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