[1]王君 蔡琳.老年人共病与非ST段抬高型急性冠脉综合征研究进展[J].心血管病学进展,2023,(9):837.[doi:10.16806/j.cnki.issn.1004-3934.2023.09.016]
 WANG Jun,CAI Lin.Older Adults with Comorbidity and Non-ST-Segment Elevation A cute Coronary Syndrome[J].Advances in Cardiovascular Diseases,2023,(9):837.[doi:10.16806/j.cnki.issn.1004-3934.2023.09.016]
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老年人共病与非ST段抬高型急性冠脉综合征研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年9期
页码:
837
栏目:
综述
出版日期:
2023-09-25

文章信息/Info

Title:
Older Adults with Comorbidity and Non-ST-Segment Elevation A cute Coronary Syndrome
作者:
王君12 蔡琳 2
(1.简阳市人民医院心内科,四川 成都 641400;2.成都市第三人民医院心内科,四川 成都 610031)
Author(s):
WANG Jun12 CAI Lin2
The People’s Hospital of Jianyang City,Chengdu 641400,Sichuan,China; 2.The Third People’s Hospital of Chengdu,Chengdu 610031 ,Sichuan,China)
关键词:
老年共病负担评估非ST段抬高型急性冠脉综合征
Keywords:
Old ageComorbidity burdenAssessmentNon-ST-segment elevation acute coronary syndrome
DOI:
10.16806/j.cnki.issn.1004-3934.2023.09.016
摘要:
中国的人口已逐渐步入老龄化,年龄的增长增加了非ST段抬高型急性冠脉综合征(NSTE-ACS)的共病负担。共病导致治疗困难、药物使用增加、死亡率增加、疾病负担加重,严重影响了患者的生活质量。在临床随机试验中,共病患者的代表性不足。老年人共病合并NSTE-ACS的最佳管理仍存在争议。现对老年人共病概念、共病流行病学、共病的评估以及老年人共病对NSTE-ACS的影响进行综述。
Abstract:
China’s population has gradually entered the aging stage, and the increasing age increases the comorbidity burden of non-ST-segment elevation acute coronary syndromes(NSTE-ACS). Comorbidit y lead s to difficult treatment,increased drug use,increased mortality and increased disease burden,which seriously affects the quality of life of patients. In clinical randomized trials,the representation of comorbidity patients is insufficient. The optimal management of elderly comorbidities with NSTE-ACS remains controversial. This paper reviews the concept of older adults with comorbidity,the epidemiology of comorbidity,the evaluation of comorbidity,and the impact of older adults with comorbidity on NSTE-ACS.

参考文献/References:

[1] 张耀军,齐婧含. “ 十四五”时期中国人口发展的重大问题[J]. 哈尔滨工业大学学报:社会科学版,2022,24(2):144-153.

[2] Yao SS,Cao GY,Han L,et al. Prevalence and patterns of multimorbidity in a nationally representative sample of older chinese:results from the china health and retirement longitudinal study[J]. J Gerontol A Biol Sci Med Sci,2020,75(10):1974-1980.

[3] Collet JP,Thiele H,Barbato E,et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation[J]. Eur Heart J,2021,42(14):1289-1367.

[4] Fan ZY,Yang Y,Zhang CH,et al. Prevalence and patterns of comorbidity among middle-aged and elderly people in china:a cross-sectional study based on CHARlS data[J]. Int J Gen Med,2021,14:1449-1455.

[5] Feinstein AR. The pre-therapeutic classification of co-morbidity in chronic disease[J]. J Chronic Dis,1970,23(7):455-468.

[6] Morici N,De Servi S,De Luca L,et al. Management of acute coronary syndromes in older adults[J]. Eur Heart J,2022,43(16):1542-1553.

[7] Steffler M,Li Y,Weir S,et al. Trends in prevalence of chronic disease and multimorbidity in Ontario,Canada[J]. CMAJ,2021,193(8):E270-E277.

[8] Miller PE,Thomas A,Breen TJ,et al. Prevalence of noncardiac multimorbidity in patients admitted to two cardiac intensive care units and their association with mortality[J]. The Am J Med,2021,134(5):653-661.e5.

[9] Hu F,Xu L,Zhou J,et al. Association between overweight,obesity and the prevalence of multimorbidity among the elderly:evidence from a cross-sectional analysis in Shandong,China[J]. Int J Environ Res Public Health,2020,17(22):8355.

[10] 黎艳娜,王艺桥.我国老年人慢性病共病现状及模式研究[J].中国全科医学,2021,24(31):3955-3962,3978.

[11] Zhang F,Wong C,Chiu Y,et al. Prognostic impact of comorbidity measures on outcomes following acute coronary syndrome:A systematic review[J]. Int J Clin Pract,2021,75(10):e14345.

[12] Charlson ME,Pompei P,Ales KL,et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation[J]. J Chronic Dis,1987,40(5):373-383.

[13] Charlson ME,Carrozzino D,Guidi J,et al. Charlson comorbidity index: a critical review of clinimetric properties[J]. Psychother Psychosom,2022,91(1):8-35.

[14] Sanchis J,Soler M,Nú?ez J,et al. Comorbidity assessment for mortality risk stratification in elderly patients with acute coronary syndrome[J]. Eur J Intern Med,2019,62:48-53.

[15] Sanchis J,García Acu?a JM, Raposeiras S,et al. Comorbidity burden and revascularization benefit in elderly patients with acute coronary syndrome[J]. Rev Esp Cardiol (Engl Ed),2021,74(9):765-772.

[16] Ofori-Asenso R,Zomer E,Chin KL,et al. Prevalence and impact of non-cardiovascular comorbidities among older adults hospitalized for non-ST segment elevation acute coronary syndrome[J]. Cardiovasc Diagn Ther,2019,9(3):250-261.

[17] Zhang F,Bharadwaj A,Mohamed MO,et al. Impact of charlson co-morbidity index score on management and outcomes after acute coronary syndrome[J]. Am J Cardiol,2020,130:15-23.

[18] Esteve-Pastor MA,Martín E,Alegre O,et al. Impact of frailty and atrial fibrillation in elderly patients with acute coronary syndromes[J]. Eur J Clin Invest,2021,51(5):e13505.

[19] Beska B,Mills GB,Ratcovich H,et al. Impact of multimorbidity on long-term outcomes in older adults with non-ST elevation acute coronary syndrome in the North East of England:a multi-centre cohort study of patients undergoing invasive care[J]. BMJ open,2022,12(7):e061830.

[20] Vicente-Ibarra N,Marín F,Pernías-Escrig V,et al. Impact of anemia as risk factor for major bleeding and mortality in patients with acute coronary syndrome[J]. Eur J Intern Med,2019,61:48-53.

[21] Forman DE,Maurer MS,Boyd C,et al. Multimorbidity in older adults with cardiovascular disease[J]. J Am Coll Cardiol,2018,71(19):2149-2161.

[22] Dillinger JG,Laine M,Bouajila S,et al. Antithrombotic strategies in elderly patients with acute coronary syndrome[J]. Arch Cardiovasc Dis,2021,114(3):232-245.

[23] Godoy LC,Lawler PR,Farkouh ME,et al. Urgent revascularization strategies in patients with diabetes mellitus and acute coronary syndrome[J]. Can J Cardiol,2019,35(8):993-1001.

[24] De Luca G,Verdoia M,Savonitto S,et al. Impact of diabetes on clinical outcome among elderly patients with acute coronary syndrome treated with percutaneous coronary intervention:insights from the ELDERLY ACS 2 trial[J]. J Cardiovasc Med (Hagerstown),2020,21(6):453-459.

[25] Alsayegh F,Alkhamis MA,Ali F,et al. Anemia or other comorbidities?using machine learning to reveal deeper insights into the drivers of acute coronary syndromes in hospital admitted patients[J]. PloS one,2022,17(1):e0262997.

[26] Yan Y,Gong W,Wang X,et al. [Multimorbidity in Elderly Patients with Acute Coronary Syndrome: Insights from BleeMACS registry][J]. Zhonghua Xin Xue Guan Bing Za Zhi,2022,50(5):443-449.

[27] Breen K,Finnegan L,Vuckovic K,et al. Multimorbidity in patients with acute coronary syndrome is associated with greater mortality,higher readmission rates,and increased length of stay:a systematic review[J]. J Cardiovasc Nurs,2020,35(6):E99-E110.

[28] Lemor A,Hernandez GA,Patel N,et al. Predictors and etiologies of 30-day readmissions in patients with non-ST-elevation acute coronary syndrome[J]. Catheter Cardiovasc Interv,2019,93(3):373-379.

[29] Gudnadottir GS,Gudnason T,Wilhelmson K,et al. Multimorbidity and readmissions in older people with acute coronary syndromes[J]. Cardiology,2022,147(2):121-132.

[30] Elbadawi A,Elgendy IY,Ha LD,et al. National trends and outcomes of percutaneous coronary intervention in patients ≥70 years of age with acute coronary syndrome (from the national inpatient sample database)[J]. Am J Cardiol,2019,123(1):25-32.

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更新日期/Last Update: 2023-10-17