Application of ACEI in elderly AMI patients from central and western cities of China and their influencing factors
Abstract：Objective To study the application of ACEI/ARB in AMI patients from central and western cities of China and their influencing factors.Methods Collected clinical information of the elderly AMI patients in the year of 2001,2006 and 2011.A total of 1886 AMI patients were divded into ACEI/ARB treatment group (n=1348) and control group (n=538).The application of ACEI/ARB and their influencing factors were analyzed.Results The incidence of hypertension,diabetes mellitus and heart failure was significantly higher in ACEI/ARB treatment group than in control group (P＜0.01).The application rate of ACEI/ARB in 2001,2006 and 2011 was 74.3％,75.0％ and 69.3％ respectively (P=0.036).Multivariate logistic regression analysis showed that AMI patients with hypertension,diabetes,SBP≥ 140 mm Hg on admission,and unmeasured eGFR were more likely to receive ACEI/ARB treatment while female patients and those with nonanterior STEMI,unmeasured LVEF,and chronic renal insufficiency were less likely to receive ACEI/ARB treatment.Conclusion About one third of hospitalized elderly AMI patients from central and western cities of China do not receive ACEI/ARB treatment and have no significant improvement in the past 10 years.There is a large room for improving the application of ACEI/ARB in elderly AMI patients from central and western cities of China.
Keywords：myocardial infarctionangiotensin-converting enzyme inhibitorsangiotensin Ⅱ type 1 receptor blockers
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1145-1148 )