摘要
目的探讨中老年急性冠脉综合征(ACS)的临床特点、死因及治疗策略,为改善预后提供参考。方法回顾分析5年来收治的130例65岁以上ACS临床表现、心电图(ECG)和心肌酶学的动态变化及治疗和死亡的关系。结果 89例以复杂多变的心脏外症状为首发和主要表现。急性心肌梗死(AMI)患者ECG呈动态演变,同工酶(CK-MB)和肌钙蛋白(c Tn)异常升高。不稳定心绞痛(UA)c Tn正常,ST抬高型心梗(STEMI)心脏彩超显示室间隔或室壁呈节段运动减弱。结论中老年ACS不典型表现发生率及合并多种疾病多见,并发症多,死亡率高,且随年龄而递增,再通治疗率低,预后差。ECG动态变化是及早确诊和分型的重要方法;c Tn是区分UA和NSTEMI的重要依据。
Objective To study the clinical characteristics of senile acute coronary syndrome,the cause of death,and treatment strategies,provide reference to improve the prognosis. Methods Retrospective analysis of 130 cases of more than 65- year- old ACS over a period of five years of clinical manifestation,ECG and myocardial enzyme dynamic change and the relationship between the treatment and death. Results 89 cases with complex and changeable heart symptoms for starting and main performance. AMI ECG is dynamic evolution,isozyme and abnormally elevated troponin. Unstable angina pectoris c Tn is normal,showed ventricular septal or room type ST elevation myocardial infarction heart colour to exceed the segmental wall motion. Conclusions The incidence of middle- aged and old ACS is not typical and merge a variety of diseases,complications,mortality is high,and along with the age increasing,recanalization treatment rates low,prognosis is poor. ECG dynamic change is an important way to early diagnosis and classification of;CTn is to distinguish between UA and the important basis of NSTEMI.
出处
《航空航天医学杂志》
2015年第1期16-17,共2页
Journal of Aerospace medicine
关键词
急性冠脉综合征
心电图
急性心肌梗死
冠心病
Acute coronary syndrome
Electrocardiogram
Acute myocardial infarction
Coronary heart disease
