CORONARY-ARTERY BYPASS-GRAFTING IN THE ELDERLY - A REVIEW OF STUDIES ON PATIENTS OLDER THAN 64, 69 OR 74 YEARS
CORONARY-ARTERY BYPASS-GRAFTING IN THE ELDERLY - A REVIEW OF STUDIES ON PATIENTS OLDER THAN 64, 69 OR 74 YEARS
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DOI：
10.1159/000175005
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发表时间：
1992-01-01
期刊：
影响因子：
1.9
通讯作者：
WALTER, PJ
中科院分区：
文献类型：
--
作者：
MOHAN, R;AMSEL, BJ;WALTER, PJ
回顾了21项报告至少100例老年患者的研究，以评估患者年龄对孤立性冠状动脉搭桥术结局的影响。老年患者的定义各不相同，包括64岁、69岁或74岁以上。女性、不稳定型心绞痛、急诊手术、广泛冠状动脉病变、外周血管病变等危险因素的发生率明显高于青年组，但左心功能与青年组相似。移植物插入的数量和手术时间也相似。随着年龄的增长，手术死亡率和多器官并发症明显增加。晚期生存率和心绞痛缓解情况一般良好。
21 studies reporting on at least 100 elderly patients were reviewed to assess the influence of patient age on outcome of isolated coronary artery bypass surgery. Elderly patients were variously defined as being older than 64, 69 or 74 years of age. They had significantly higher incidences of female sex, unstable angina, urgent surgery, extensive coronary disease, peripheral vascular disease and other risk factors, but left ventricular function was similar to younger patients. The number of grafts inserted and operation times were also similar. Operative mortality and multiorgan morbidity were significantly higher with advancing age. Late survival and relief of angina were generally good.