Coronary Artery Disease in Premenopausal and Postmenopausal Women.

作者: Lu Yihua , Jiang Yun , Zhao Dongshen

DOI: 10.1536/IHJ.16-095

关键词:

摘要: The purpose was to determine the differences between premenopausal and postmenopausal coronary artery disease (CAD) risk factors, clinical manifestation, cardiovascular features, rates of recurrence, influencing factors.Premenopausal (n = 57) 178) CAD women hospitalized during same period were enrolled. All patients followed-up, combined recurrence major adverse events recorded as outcome. Differences compared 2 groups.Fewer suffered from hypertension (43.86% versus 75.28%, P < 0.001), type diabetes (12.28% 35.96%, hyperlipidemia (5.26% 34.83%, but more had a positive family history premature (40.35% 25.28%, 0.03). Acute syndrome (ACS) frequently seen in (82.46% 48.88%, their left anterior descending branch vessel most often involved (65.33%). cumulative rate 1.76 times higher than patients. Clinical diagnosis (HR 2.54, 95%CI: 1.21-4.85, 0.02) 4.10, 2.37-8.83, 0.004) two factors that influenced subjects, while 1.93, 1.59-3.46, 0.03) Gensini score 1.20, 1.11-1.45, patients.Symptoms among younger atypical, onset faster urgent, angiography might underestimate severity disease. different

参考文章(27)
Nuno Bettencourt, Lino Simoes, Pedro Mateus, Vasco Ribeiro, Lino Santos, Luis Adao, Madalena Teixeira, Carla Dias, Acute coronary syndromes in young women. Revista Portuguesa De Pneumologia. ,vol. 23, pp. 69- 77 ,(2004)
Emad Abu-Assi, Andrea López-López, Violeta González-Salvado, Alfredo Redondo-Diéguez, Carlos Peña-Gil, Noelia Bouzas-Cruz, Sergio Raposeiras-Roubín, Rami Riziq-Yousef Abumuaileq, José M. García-Acuña, José R. González-Juanatey, The Risk of Cardiovascular Events After an Acute Coronary Event Remains High, Especially During the First Year, Despite Revascularization. Revista Espanola De Cardiologia. ,vol. 69, pp. 11- 18 ,(2016) , 10.1016/J.REC.2015.06.015
Susanne L. Mautner, Fengru Lin, Gisela C. Mautner, William C. Roberts, Comparison in women versus men of composition of atherosclerotic plaques in native coronary arteries and in saphenous veins used as aortocoronary conduits Journal of the American College of Cardiology. ,vol. 21, pp. 1312- 1318 ,(1993) , 10.1016/0735-1097(93)90302-H
Karen A. Matthews, Elaine Meilahn, Lewis H. Kuller, Sheryl F. Kelsey, Arlene W. Caggiula, Rena R. Wing, Menopause and Risk Factors for Coronary Heart Disease The New England Journal of Medicine. ,vol. 321, pp. 641- 646 ,(1989) , 10.1056/NEJM198909073211004
Goffredo G. Gensini, A More Meaningful Scoring System for Determining the Severity of Coronary Heart Disease American Journal of Cardiology. ,vol. 51, pp. 606- ,(1983) , 10.1016/S0002-9149(83)80105-2
Alan S Go, Dariush Mozaffarian, Véronique L Roger, Emelia J Benjamin, Jarett D Berry, Michael J Blaha, Shifan Dai, Earl S Ford, Caroline S Fox, Sheila Franco, Heather J Fullerton, Cathleen Gillespie, Susan M Hailpern, John A Heit, Virginia J Howard, Mark D Huffman, Suzanne E Judd, Brett M Kissela, Steven J Kittner, Daniel T Lackland, Judith H Lichtman, Lynda D Lisabeth, Rachel H Mackey, David J Magid, Gregory M Marcus, Ariane Marelli, David B Matchar, Darren K McGuire, Emile R Mohler III, Claudia S Moy, Michael E Mussolino, Robert W Neumar, Graham Nichol, Dilip K Pandey, Nina P Paynter, Matthew J Reeves, Paul D Sorlie, Joel Stein, Amytis Towfighi, Tanya N Turan, Salim S Virani, Nathan D Wong, Daniel Woo, Melanie B Turner, None, Heart Disease and Stroke Statistics—2014 Update A Report From the American Heart Association Circulation. ,vol. 129, pp. 0- 0 ,(2014) , 10.1161/01.CIR.0000441139.02102.80
Maria Cecília Solimene, Coronary heart disease in women: a challenge for the 21st century Clinics. ,vol. 65, pp. 99- 106 ,(2010) , 10.1590/S1807-59322010000100015
J. H. Lichtman, E. C. Leifheit-Limson, E. Watanabe, N. B. Allen, B. Garavalia, L. S. Garavalia, J. A. Spertus, H. M. Krumholz, L. A. Curry, Symptom Recognition and Healthcare Experiences of Young Women With Acute Myocardial Infarction Circulation-cardiovascular Quality and Outcomes. ,vol. 8, ,(2015) , 10.1161/CIRCOUTCOMES.114.001612
Sheila O’Keefe-McCarthy, Linda Ready, Impact of Prodromal Symptoms on Future Adverse Cardiac-Related Events: A Systematic Review. Journal of Cardiovascular Nursing. ,vol. 31, ,(2016) , 10.1097/JCN.0000000000000207
Toshiyasu Ogata, Tooru Inoue, Yasushi Okada, Outcome of 312 Japanese patients with carotid endarterectomy and factors associated with cardiovascular events--a single-center study in Japan. Journal of Stroke & Cerebrovascular Diseases. ,vol. 23, pp. 529- 533 ,(2014) , 10.1016/J.JSTROKECEREBROVASDIS.2013.04.030