Eur Heart J:经皮冠状动脉介入治疗的癌症患者90天内因急性心肌梗塞和出血再入院分析

2021-03-05 MedSci原创 MedSci原创

PCI后,癌症患者因AMI或出血再入院的风险增加,其风险大小取决于癌症类型和有无转移。

接受经皮冠状动脉介入治疗(PCI)的癌症患者的出院后结局尚未明确。

近日,血管领域权威杂志Eur Heart J上发表了一篇研究文章,这项研究旨在评估接受PCI的癌症患者在90天内的急性心肌梗塞(AMI)和出血的再入院率。

在2010年至2014年间,研究人员纳入了美国入院数据库中接受PCI治疗的患者,以评估癌症对AMI和出血90天再入院的影响。

该研究总共纳入了1933324名患者(2.7%的活动性癌症,6.8%既往癌症病史患者)。活动性癌症患者在PCI后90天的再入院率更高(肺癌为12.1%,结肠为10.8%,乳腺癌为7.5%,前列腺为7.0%,所有癌症为9.1%),而无癌症患者为5.6%。活动性癌症患者PCI术后90天出血再入院率更高(结肠癌为4.2%,肺癌为1.5%,前列腺癌为1.4%,乳腺癌为0.6%,所有癌症为1.6%),而无癌症患者为0.6%。AMI的平均再入院时间从肺癌患者的26.7天到结肠癌患者的30.5天不等,而出血再入院的平均时间从结肠癌患者的38.2天到乳腺癌患者的42.7天不等。

由此可见,PCI后,癌症患者因AMI或出血再入院的风险增加,其风险大小取决于癌症类型和有无转移

原始出处:

Chun Shing Kwok,et al.Percutaneous coronary intervention in patients with cancer and readmissions within 90 days for acute myocardial infarction and bleeding in the USA.European Heart Journal.2021.https://doi.org/10.1093/eurheartj/ehaa1032

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    2021-09-06 染尘

    0

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    2021-04-06 ms5699914512876342

    还是挺危险的

    0

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    2021-03-07 zhaojie88
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    2021-03-07 slcumt
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    2021-03-05 ms2000000728102981

    真好

    0

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