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| Clinical effect of coronary intervention on elderly patients with angina pectoris |
| REN Liangqiang LI Bin WANG Sheng LIU Shiwu MA Jianlin |
| Department of Cardiology, People 's Hospital of Hainan Province, Hainan Province, Haikou 570311, China |
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Abstract Objective To observe the clinical effect of percutaneous coronary intervention (PCI) in elderly patients with coronary heart disease (more than 65 years old). Methods Clinical data of elderly patients with coronary heart disease in People 's Hospital of Hainan Province from January 2012 to December 2015 were retrospectively analyzed. The patients were divided into observation group (PCI treatment) and control group (simple drug therapy), each group of 100 cases. After 1 month of treatment, the clinical outcomes of two groups were compared. After 1 year of follow-up, the incidence of cardiovascular events and cardiovascular disease recurrence in two groups were recorded. The quality of life was assessed by seattle angina questionnaire (SAQ) score at 24 h before and after PCI (PCI). Followed up for 1 year, the recurrence rate and mortality were compared between two groups. Results After 1 month of treatment, total effective rate of observation group significantly higher than that of control group, the difference was statistically significant (P ＜ 0.01). After surgery of 1 year, the degree of somatic activity, the degree of angina pectoris, the frequency of angina pectoris, the satisfaction of treatment and the cognition of disease scores in observation group were significantly higher than before surgery and control group, the difference was statistically significant (P ＜ 0.05). Logistic multivariate regression analysis: the number of diseased vessels, the history of hypertension and the history of smoking were the independent influencing factors of patients with coronary heart disease and angina pectoris after PCI. Conclusion Curative effect of PCI for elderly patients with coronary heart disease angina pectoris is good. It has an objective effect to improve the quality of life of patients, reduce cardiovascular-related mortality and the incidence of adverse events. Clinicians for the number of vascular lesions, history of hypertension and smoking history of coronary heart disease in patients with angina pectoris after PCI should be closely tested, early detection, early intervention.
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