Department of Cardiology (Chongqing Institute of Cardiology) Daping Hospital, Third Military Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Department of Cardiology, 306th Hospital of PLA, Beijing, China.
J Thromb Thrombolysis. 2018 Jan;45(1):142-150. doi: 10.1007/s11239-017-1568-z.
The characteristics of coronary stenosis vary among the different countries or areas. 11,267 patients who have undergone coronary angiography (CAG) from three Southwest China hospitals were investigated. Patient characteristics, coronary stenosis and stent-implant information were recorded and analyzed according to two criteria: "visible stenosis" and "≥ 50% stenosis". The patients who have undergone CAG increased year by year, with patients from 60 to 69 years-old taking the highest ratio (34.69%). Based on the "≥ 50% stenosis" criteria, the stenotic frequency was 40.54% for Southwest China patients getting CAG. Only 8.14% patients suffered ≥ 3 stenotic vessels, while 11.58 and 20.82% patients had 2 or 1 stenotic vessel, respectively. However, when using the "visible stenosis" criteria, the stenotic frequency increased to 64.68%. The prevalence of stenosis increased with age based on the "visible stenosis" criteria. There were more male patients with stenosis than female except patients over 80 years old. The stenosis affected almost all main coronary arteries and their branches, with the most affected artery being the left anterior descending artery. There were 3246 cases (28.8%) implanted with 5423 stents with a concurrent age-dependent increasing tendency for stent-implant frequency and average implanted stent number. The numbers of patients who have undergone CAG and suffered from CVD increased rapidly. In these patients, positive rate of CAG was 64.67%, which increased to 72.2% in patients over 60-years old. The incidence of ≥ 75% stenosis and multiple stenosis increased with age, however it should be noticed there were 18.93% for ≥ 75% stenosis and 19.52% for multiple stenosis in patients under 40 years old.
中国西南地区三家医院共调查了 11267 例行冠状动脉造影(CAG)的患者。根据“可见狭窄”和“≥50%狭窄”两种标准,记录和分析患者特征、冠状动脉狭窄和支架植入信息。行 CAG 的患者人数逐年增加,60-69 岁的患者比例最高(34.69%)。根据“≥50%狭窄”标准,西南地区行 CAG 的患者狭窄频率为 40.54%。仅有 8.14%的患者患有≥3 处狭窄血管,而 11.58%和 20.82%的患者分别有 2 处或 1 处狭窄血管。然而,当使用“可见狭窄”标准时,狭窄频率增加到 64.68%。根据“可见狭窄”标准,狭窄的患病率随年龄增加而增加。除了 80 岁以上的患者外,男性患者的狭窄患病率高于女性。狭窄几乎影响所有主要冠状动脉及其分支,最常受累的动脉是左前降支。共植入 5423 个支架的 3246 例(28.8%),支架植入频率和平均植入支架数量呈年龄依赖性增加趋势。行 CAG 和患有 CVD 的患者数量迅速增加。在这些患者中,CAG 的阳性率为 64.67%,60 岁以上患者的阳性率增加到 72.2%。≥75%狭窄和多处狭窄的发生率随年龄增加而增加,但应注意,40 岁以下患者的≥75%狭窄和多处狭窄发生率分别为 18.93%和 19.52%。