行冠状动脉内支架置入术青年急性冠脉综合征患者长期随访探究.docVIP

行冠状动脉内支架置入术青年急性冠脉综合征患者长期随访探究 　　【摘要】 目的：目前关于行冠状动脉内支架置入术的青年急性冠脉综合征患者长期随访研究较少。本研究拟研究于笔者所在医院行冠状动脉内支架置入术的青年急性冠脉综合征患者长期随访情况。方法：2010年1月-2013年12月共有79例青年急性冠脉综合征在笔者所在医院住院，行冠状动脉内支架置入术。本研究全面收集这79例患者的住院资料及长期随访资料。结果：患者的年龄（40.5±3.8）岁。81.0%患者为男性，且绝大多数患者有吸烟史，每例患者均存在至少一种危险因素。在住院期间，无一例患者死亡。住院期间主要心脑血管不良事件发生率为1.3%，随访期间无患者死亡，随访期间主要心脑血管不良事件发生率为8.2%。结论：行冠状动脉内支架置入术的青年急性冠脉综合征患者其长期随访结果极佳，吸烟与传统的急性冠脉综合征危险因素是青年急性冠脉综合征发病的主要原因 【关键词】 急性冠脉综合征； 青年患者； 冠状动脉内支架置入术 doi：10.14033/j.cnki.cfmr.2016.35.014 文献标识码 B 文章编号 1674-6805（2016）35-0029-03 【Abstract】 Objective：Data on the long-term prognosis of percutaneous coronary intervention（PCI） in young patients with acute coronary syndrome are limited. The aim of the present study was to report the immediate and long-term clinical outcomes in a consecutive series of young patients with acute coronary syndrome who underwent PCI with stent implantation.Method：During the study period （January 2010 to December 2013），79 consecutive patients aged ≤45 years who had undergone PCI with a bare metal stent or drug-eluting stent implantation were retrospectively selected and analyzed.Primary end point of this study was the incidence of major adverse cardiac and cerebrovascular events at short and long-term follow-up.Result：Mean age was （40.5±3.8） years and 81.0% of patients were men.Most of patients were active smokers and all patients had ≥1 conventional cardiovascular risk factor.During the hospital stay，no patient died，and the incidence of major adverse cardiac and cerebrovascular events was 1.3%.At a median follow-up of 780 days，the overall death rate was 0 and the incidence of major adverse cardiac and cerebrovascular events was 8.2%.Conclusion：In conclusion，PCI in young patients leads to excellent results in short and long-term follow-up and shall be considered as the treatment of choice.Traditional risk factors may help identify higher risk patients within this cohort. 【Key words】 Acute coronary syndrome； Young patients； Percutaneous coronary interventions w