文章摘要
齐国先,田文.衰弱与老年急性冠状动脉综合征[J].中国临床保健杂志,2020,23(5):582-585.
衰弱与老年急性冠状动脉综合征
Frailty and acute coronary artery syndrome in the elderly
投稿时间:2020-06-10  
DOI:10.3969/J.issn.1672-6790.2020.05.002
中文关键词: 衰弱  急性冠状动脉综合征  危险性评估  预后
英文关键词: Frailty  Acute coronary syndrome  Risk assessment  Prognosis 〖FL
基金项目:科技部重点专项项目
作者单位
齐国先 中国医科大学第一附属医院老年医学科,沈阳 110001 
田文 中国医科大学第一附属医院老年医学科,沈阳 110001 
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中文摘要:
      老年人群急性冠状动脉综合征(ACS)伴发衰弱的问题受到了广泛的关注,两者之间的发病存在许多关联性。随着年龄的升高,ACS发病后伴发衰弱的发生率越来越高,并且严重地影响了ACS的预后。ACS合并衰弱的患者死亡率高,预后差,对于ACS患者关注衰弱是有意义的。对于非ST段抬高型ACS患者,及时的衰弱评估对于进一步治疗策略的选择,包括有创性技术应用与否、抗栓治疗强度以及二级预防的干预内容均有指导意义。建议专科医生应该了解老年衰弱的评估方法,处理高龄老人ACS时,除了密切关注ACS本身外,要进行必要的衰弱评估,指导进一步的处理,可能有助于改善患者的长期治疗效果。
英文摘要:
      The problem of acute coronary syndrome (ACS) associated with the frailty in the elderly has received widespread attention,and there are many correlations in the pathogenesis between them.With the increase of age,the incidence of frailty after ACS is higher and higher,which seriously affects the prognosis of the ACS.The high mortality rate and poor prognosis in patients with ACS combined frailty make it meaningful to focus on the frailty.For the NSTE-ACS patients,the timely assessment of the frailty is instructive for the choice of treatment strategies on the ACS,including the application of invasive technology,the intensity of anti-thrombotic treatment and the intervention content of secondary prevention.It is recommended that specialists should understand the assessment method of the frailty in the elderly.and when dealing with ACS in the elderly,in addition to paying close attention to ACS itself,the necessary assessment of the frailty should be carried out to guide further treatment,which may help to improve the long-term treatment effectiveness of these patients.
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