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《CHINESE JOURNAL OF CERIATRICS》 1996-01
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Clinical risk factors of recurrent heart event in elderly patients with coronary heart disease and systemic hypertension

Xie Ying;Hu Xudong.(An Zhen Hospital,Beijing 100029)  
Objective Recurrent heart events including acute myocardial infarction(AMI) and sudden cardiac death(SCD) occurring in elderly patients with coronary heart disease and systemic hypertension is very dangerous.The relation between the clinical risk factors and recurrent heart events was studied.Metbods Three hundred and ninety elderly patients with coronary heart disease and systemic hypertension were followed-up for 2-8.5 years.Ten clinical factors of the patients including age,male sex.diabetes mellitus,history of smoking,electrocardiographic ST-T abnormality,a ratio of total to high-density lipoprotein cholesterol≥4.5,coronary heart disease accompanied by hypertension,left ventricular hypertrophy,silent myocardial ischemia and complex ventricular arrhythmia were recorded and the occurrence of AMI and SCD were noted as well.Results AMI and SCD occurred in 48 patients.The recurrent heart event rate in 8 years was 21.8% as calculated from Kaplan-Meier survival curves.In an univariated analysis,with the exception of age,the other 9 factors significantly increased the chance of recurrent heart event.Cox proportional hazards regression analysis revealed that the latter 5 factors independently predicted the occurrence of recurrent heart event.Conclusions It is suggested that,in order to improve the prognosis in elderly patients with coronary heart disease and hypertension,it is necessary to pay full attention to the risk factors mentioned and to control them.
【CateGory Index】: R541.405
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1 Gao Bai qing,Huang Jing fang,Tang Jian hua;Analysis adn Care of Sudden Death in Aged CHD Patients[J];CHINESE JOURNAL OF NURSING;1998-01
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1 LOU Caiyun,WU Chungang,TAN Zhangxi,et al //Chinese Journal of Cardiovascular Rehabilitation Medicine,2000,9(2):8;Influence on silent myocardial ischemia by regulating blood-fat and exercise rehabilitation therapy[J];CHINESE JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE;2000-03
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