Clinical characteristics and prognosis of elderly patients with coronary heart disease
HUANG Ji
QIAN Hai-yan
LI Zhi-zhong
ZHANG Jing-mei
Abstract：Objective To analyze the characteristics and prognosis of elderly patients 80 years old or greater with coronary heart disease (CHD).Methods A total of 315 elderly CHD patients admitted into hospital during recent 6 years were chosen and there were 300 CHD patients aged ≤ 65 years old who were chosen as control.The history,clinical data and coronary angiography were analyzed and compared.Results Among the elderly CHD patients,those risk factors including chronic myocardial infarction,serious arrhythmias,coronary revascularization history,cardiovascular or non-cardiovascular complications were all higher than those in control group (all P ＜0.01).Echocardiography indicated that elderly patients had poor cardiac function [left ventricular ejection fraction:(46 ± 13) ％ vs (58 ± 11) ％,P ＜ 0.01],and higher level of blood glucose,low density lipoprotein-cholesterol,and serium creatinine [(7.9 ± 2.1) mmol/L vs (5.7 ± 1.9) mmol/L,(4.2 ± 1.7) mmol/L vs (3.2 ± 1.5) mmol/L,(141 ± 57)μmol/L vs(98 ± 44)μmol/L,all P ＜ 0.01].Coronary angiography demonstrated that multi-coronary arterial lesions,left main lesions and chronic total occlusion were more than those in control group (all P ＜ 0.01).Prognosis analysis indicated that all-cause mortality MACE in 30d and 1 year in elderly patients were all higher than that in control patients [14.3％ (45/315) vs 3.7％ (11/300),30.2％ (95/315) vs 13.0％ (39/300),all P ＜ 0.01].Conclusions The elderly CHD patients have more risk factors and complications than younger patients; their coronary lesions are serious and complex.Accordingly the prognosis is poor compared with those younger patients.
Keywords：ElderlyCoronary heart diseaseCoronary angiographyClinical characteristicsPrognosis
Publication Date：2013-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 721-723 )