JACC:PCI可降低老年STEMI合并心源性休克患者死亡率

2019-04-23 不详 MedSci原创

年龄大于等于75岁的老年人在ST段抬高型心肌梗死(STEMI)合并心源性休克后死亡率会增加。本研究的目的旨在评估经皮冠脉介入治疗(PCI)在老年STEMI合并心源性休克患者中的应用及其对住院死亡率的影响。本研究纳入了1999-2013年美国317728名STEMI合并休克的患者,其中年龄≥75岁的占35%,女性占53%。老年STEMI合并休克患者的诊断例数逐年减少,但是老年患者的PCI率逐年增加,

年龄大于等于75岁的老年人在ST段抬高型心肌梗死(STEMI)合并心源性休克后死亡率会增加。本研究的目的旨在评估经皮冠脉介入治疗(PCI)在老年STEMI合并心源性休克患者中的应用及其对住院死亡率的影响。

本研究纳入了1999-2013年美国317728名STEMI合并休克的患者,其中年龄≥75岁的占35%,女性占53%。老年STEMI合并休克患者的诊断例数逐年减少,但是老年患者的PCI率逐年增加,住院死亡率也逐年降低。通过倾向性匹配分析,发现PCI治疗与住院死亡率的降低相关(OR:0.48; 95% [CI]: 0.45-0.51)。

研究结果显示,在老年STEMI合并心源性休克患者中,PCI的使用率逐年增加,且与逐年降低的住院死亡率相关。

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    2019-07-21 hbwxf
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    2019-06-17 sunlong28

    学习了~~~

    0

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    2019-04-26 天地飞扬

    了解一下,谢谢分享!

    0

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    2019-04-25 docwu2019
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    2019-04-25 mhm295

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