张艳阳,孙颖,李虹伟.衰弱对老年急性冠脉综合征患者预后及治疗策略的影响[J].中华老年多器官疾病杂志,2020,19(12):949~952 |
衰弱对老年急性冠脉综合征患者预后及治疗策略的影响 |
Impact of frailty on prognosis and clinical strategies in patients with acute coronary syndrome |
投稿时间:2019-11-19 |
DOI:10.11915/j.issn.1671-5403.2020.12.217 |
中文关键词: 老年人;衰弱;急性冠脉综合征;经皮冠状动脉介入治疗 |
英文关键词:aged; frailty; acute coronary syndrome; percutaneous coronary intervention This work was supported by Key Medical Development Projects of Beijing Municipal Administration of Hospitals |
基金项目:北京市医院管理局临床医学发展专项经费资助(ZYLX201838) |
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中文摘要: |
衰弱是常见老年综合征之一,衰弱增加老年急性冠脉综合征(ACS)患者的死亡率、心血管事件、住院时间及出血风险,衰弱患者接受冠状动脉造影及冠状动脉介入治疗的可能性较非衰弱者低,衰弱也会增加接受冠状动脉介入治疗的患者死亡 率。老年衰弱患者是否可以从经皮冠状动脉介入治疗(PCI)中获益,以及如何进行临床决策尚缺乏足够的循证医学证据指导。 |
英文摘要: |
Frailty, one of the most common geriatric syndromes, increases mortality, adverse cardiovascular events, and bleeding risk in elderly patients with acute coronary syndrome ( ACS). Patients with frailty receive percutaneous coronary intervention (PCI) less frequently than those without, and frailty increases mortality of patients with PCI. There is a lack of evidence whether frail elderly patients can benefit from PCI and evidence to guide clinical decisions. |
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