The Outcome of Coronary Artery Bypass Grafting Surgery among Patients Hospitalized with Acute Coronary Syndrome: The Euro Heart Survey of Acute Coronary Syndrome Experience
The Outcome of Coronary Artery Bypass Grafting Surgery among Patients Hospitalized with Acute Coronary Syndrome: The Euro Heart Survey of Acute Coronary Syndrome Experience
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急性冠状动脉综合征住院患者冠状动脉搭桥手术的结果：欧洲心脏急性冠状动脉综合征经验调查
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
D. Hasdai
中科院分区：
文献类型：
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作者：
A. Solodky;S. Behar;V. Boyko;A. Battler;D. Hasdai
目的：确定冠状动脉旁路移植术（CABG）在广泛急性冠状动脉综合征（ACS）患者中的频率和结局。方法和结果：我们前瞻性地纳入了来自欧洲和地中海盆地25个国家103家医院的10,484例ACS患者。在10，204例数据完整的患者中，460例（4.5%）在住院期间接受了CABG; 3.4%患有ST段抬高ACS，5.4%患有非ST段抬高ACS，4.4%患有未确定的ECG ACS（非ST段抬高ACS与其他患者相比，p = 0.001）。一般来说，接受CABG的患者更可能是男性，有糖尿病、高脂血症、早发冠心病家族史和既往心绞痛，但既往心力衰竭的发生率较低。在住院期间，所有CABG患者均接受了冠状动脉造影，15.2%的患者还接受了经皮血运重建术，而其余患者分别为51.3%和33.1%。接受CABG的ACS患者的院内死亡率为3.7%，非CABG ACS患者的院内死亡率为4.8%（p =无显著性），CABG患者院内死亡的校正比值比为1.00（95% CI 0.59-1.61）。结论：大约4.5%的ACS患者在首次住院期间接受了CABG，非ST段抬高ACS患者的可能性更大。在CABG患者中，15.2%还接受了经皮血运重建。CABG患者的结局与非CABG患者一样好，表明在当前临床实践中，CABG仍然是实现ACS患者血运重建的有效和安全的方法。
Aim: To determine the frequency and outcomes of coronary artery bypass graft (CABG) surgery in patients with a wide spectrum of acute coronary syndromes (ACS). Methods and Results: We prospectively enrolled 10,484 ACS patients from 103 hospitals in 25 countries across Europe and the Mediterranean basin. Of the 10,204 patients with complete data, 460 (4.5%) underwent CABG while in hospital; 3.4% had ST elevation ACS, 5.4% had non-ST elevation ACS, and 4.4% had undetermined ECG ACS (p = 0.001 for non-ST elevation ACS vs. others). In general, patients who underwent CABG were more likely to be males, to have diabetes mellitus, hyperlipidemia, a positive family history of premature coronary disease, and prior angina pectoris, but had less often prior heart failure. While in hospital, all CABG patients underwent coronary angiography and 15.2% also underwent percutaneous revascularization, as compared with 51.3 and 33.1% in the remaining patients, respectively. The in-hospital mortality was 3.7% for ACS patients who underwent CABG and 4.8% for non-CABG ACS patients (p = nonsignificant) with an adjusted odds ratio of in-hospital death for CABG patients of 1.00 (95% CI 0.59–1.61). Conclusions: Approximately 4.5% of ACS patients underwent CABG during their initial hospitalization, with a greater likelihood among non-ST elevation ACS patients. Of the CABG patients, 15.2% also underwent percutaneous revascularization. The outcome of CABG patients was as good as non-CABG patients, indicating that CABG remains an effective and safe means to achieve revascularization among ACS patients in current clinical practice.
对非 Q 波心肌梗死患者使用侵入性管理策略：伍斯特心脏病研究的观察数据库报告。
影响因子：
4.8
作者：
Dauerman,HaroldL;Yarzebski,Jorge;Gore,JoelM;Lessard,Darleen;Goldberg,RobertJ
通讯作者：
Goldberg,RobertJ