|
|
|
|
|
| Cardiovascular risk factors difference in the trends of patients with acute myocardial infarction and the current status of primary PCI treatment in Suzhou in recent 10 years |
| Xu Ming-zhu, He Zhi-song, Zhou Ya-feng, Jiang Ting-bo, Yang Xiang-jun |
| Department of Cardiology, First Affiliated Hospital, Soochow University, Suzhou 215006, China |
|
|
|
|
Abstract Objective To investigate the changes of cardiovascular risk factors in patients with acute myocardial infarction (AMI) and the current status of emergency percutaneous coronary intervention (PCI) in Suzhou during recent 10 years. Methods The clinical data of patients firstly diagnosed with AMI in our hospital from 2006 to 2015 were analyzed retrospectively. Results 2511 samples were included and divided into 5 groups, 2006～2007 year, 2008～2009 year, 2010～2011 year, 2012～2013 year and 2014～2015 year based on admission time. The male to female ratio was in 4.48 ~ 5.49 and the average onset age of male were earlier than women. The patients were divided into 4 age groups according to the onset age: < 45 years old, 45~59 years old, 60~74 years old and above 75 years old. The peak incidence of age of AMI patients were 60~74 years old which had significant difference compared with the other age groups in the same age period (P＜0.05). Moreover, the onset age of male patients with AMI was mainly distributed in 60~74 years old which were similar with female patients. From 2006 to 2015, the proportion increased gradually in <45 and 45~59 years old in male patients, while in ≥75 years old in female patients. The AMI patients′ cholesterol was kept in high level, and we also obtained more than half of them had smoking or hypertension. The utilization rate of aspiration catheter and tirofiban increased in patients with AMI by primary PCI, on the contrary, the utilization rate of protective temporary pacemaker decreased. Coronary stent implantation was the main treatment, followed by percutaneous transluminal coronary angioplasty. Conclusion The incidence number of AMI increases gradually; the number of male AMI patients is more than that of female, and the onset age of male is younger than that of female in Suzhou. Moreover, incidence age of male patients with AMI gradually gets younger. Additionally, smoking, hypertension, hyperlipidemia are the main cardiovascular risk factors. Therefore, it is of great significance in controlling the cardiovascular risk factors and early intervention of high-risk groups in this region.
|
|
Received: 13 February 2017
|
|
Corresponding Authors:
Yang Xiang-jun, E-mail:yang_xiangjun@163.com
|
|
|
|
|
|
|
Address: 1 North 2nd Street,
Zhongguancun, 