M. J. C. Cantarelli, H. Castello, Rosaly Gonçalves, Silvio Gioppato, Ednelson Cunha Navarro, J. B. Guimarães, E. Ribeiro, Danilo Maksud, Julio Cesar Francisco Vardi
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引用次数: 6
摘要
背景:心血管疾病在年轻人中的发病率越来越高,而经皮冠状动脉介入治疗(PCI)在这一群体中的数据很少。我们的目的是对该PCI登记的年轻患者的概况和住院临床结果进行回顾性评估。方法:2006 - 2012年,6288例患者连续行PCI,其中151例(0.99),心肌梗死(3.3% vs. 2.3%;P = 0.41)或紧急血运重建术(0.6% vs. 0.03%;P = 0.56)组间相似。在多变量分析中,年龄和功能等级Killip III和IV的存在是最能解释MACCE发生的变量。结论:年龄< 40岁的患者只占本系列病例的一小部分,其临床和血管造影特征与老年患者不同,这表明有必要在观察到的个体中早期建立一级预防措施。
Intervenção Coronária Percutânea em Pacientes Jovens
Background: Cardiovascular disease has shown increasing occurrence rates among young people and data of percutaneous coronary intervention (PCI) in this group are scarce. Our objective was to perform a retrospective evaluation of the profile and in-hospital clinical outcomes of young patients in this PCI registry. Methods: From 2006 to 2012, 6,288 patients were consecutively submitted to PCI, of whom 151 were 0.99), myocardial infarction (3.3% vs. 2.3%; p = 0.41) or emergency revascularization (0.6% vs. 0.03%; p = 0.56) were similar between groups. In the multivariate analysis, age and presence of functional class Killip III and IV were the variables that best explained the occurrence of MACCE. Conclusions: Patients with age < 40 years represented a small fraction of the cases in this series and had a clinical and angiographic profile different from the older patients, suggesting the need to establish primary prevention measures earlier in individuals with the observed profile.