Int J Cardiol:肾功能不全患者被忽视!中国急性冠脉综合征临床路径项目新分析

2020-08-20 朱朱 中国循环杂志

在中国急性冠脉综合征患者中,肾功能不全的患者较少接受指南推荐的治疗策略,其临床预后也较差。

近期,阜外医院高润霖院士、北京大学临床研究所武阳丰教授等代表中国急性冠脉综合征临床路径(CPACS)研究组发表的一项次要分析结果表明,在中国急性冠脉综合征患者中,肾功能不全的患者较少接受指南推荐的治疗策略,其临床预后也较差。

研究者认为,肾功能不全是影响指南在中国急性冠脉综合征患者中实施的一个重要因素。

研究者发现,与肾功能正常的患者相比,肾功能不全的患者中接受恰当药物治疗的比例较低,高危患者接受冠脉造影的比例也较低,死亡、心原性死亡、主要不良血管事件、大出血事件发生风险均显著增加。

CPACS-2项目于2007年10月至2010年8月从去哪国75家医院纳入15 141例急性冠脉综合征患者,这项新分析纳入其中14 437例患者。

研究期间,436例患者死亡,357人死于心血管事件,686人发生主要不良心血管事件,198人发生大出血事件。

原始出处:Yong Peng, Xin Du, Xian Li, et al. Association of renal insufficiency with treatments and outcomes in patients with acute coronary syndrome in China. Int J Cardiol, Published: August 15, 2020

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    2021-07-02 yese
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    2020-11-24 ms4000001617780766

    是的

    0

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    2020-08-27 14818eb4m67暂无昵称

    学习了

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    2020-08-20 151****9340暂无昵称

    是的

    0

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