RESULTS OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY IN WOMEN - 1985-1986 NATIONAL HEART, LUNG, AND BLOOD INSTITUTE CORONARY ANGIOPLASTY REGISTRY
RESULTS OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY IN WOMEN - 1985-1986 NATIONAL HEART, LUNG, AND BLOOD INSTITUTE CORONARY ANGIOPLASTY REGISTRY
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DOI：
10.1161/01.cir.87.3.720
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发表时间：
1993-03-01
期刊：
影响因子：
37.8
通讯作者：
DETRE, KM
中科院分区：
文献类型：
--
作者：
KELSEY, SF;JAMES, M;DETRE, KM
背景资料。美国国家心肺血液研究所(NHLBI)1978-1981年经皮冠状动脉腔内成形术(PTCA)注册队列研究表明，女性PTCA风险较高，疗效较低。使用1985-1986年PTCA登记处的数据来解决这样一个问题，即与男性相比，女性在治疗方法和结果后是否仍然有更差的结果。1985-1986年NHLBI PTCA登记处收集了16个中心连续的首次PTCA病例的数据。报告了2136名患者的初步结果，其中546名是女性。95%的队列患者有四年的随访期。虽然女性比男性患者平均年龄大4.5岁，有更多的心血管危险因素和更严重的心绞痛，但她们的冠状动脉造影术评估的冠状动脉疾病并不更广泛。在每个病变的基础上，女性和男性的血管造影成功率相似(89%对88%)，临床成功率(79%)相同。女性的初始并发症较多(29%比20%，P
Background. The National Heart, Lung, and Blood Institute (NHLBI) Percutaneous Transluminal Coronary Angioplasty (PTCA) 1978-1981 Registry cohort indicated that PTCA risk was higher and efficacy was lower in women. Data from the 1985-1986 PTCA Registry are used to address the question of whether compared with men, women still have a worse outcome after Methods and Results. The 1985-1986 NHLBI PTCA Registry collected data on consecutive, first-PTCA cases at 16 centers. Initial results are reported for 2,136 patients, 546 of whom were women. Four-year follow-up status was available on 95% of the cohort. Although women were an average of 4.5 years older than the male patients and had more cardiovascular risk factors and more severe angina, their coronary artery disease as assessed by angiography was not more extensive. Rates of angiographic success on a per-lesion basis were similar for women and men (89% versus 88%), and the clinical success rates (79%) were the same. Women had more initial complications (29% versus 20%, p