Prognostic Analysis of Patients with Acute Coronary Syndrome Combined with Malignant Tumors After Coronary Intervention Surgery
Objective To analyze the prognosis of patients with acute coronary syndrome(ACS)complicated with malig-nant tumors after coronary intervention surgery.Methods A retrospective analysis was conducted on the medical records of 84 patients with ACS complicated with malignant tumors who underwent coronary intervention therapy.After underwent coronary in-tervention treatment,patients were followed up for 2 years and divided into survival and death groups based on their clinical out-comes.Using a multivariate logistic regression analysis model to explore the influencing factors of mortality in patients with ACS complicated with malignant tumors underwent coronary intervention therapy.Results Followed up for 2 years,out of 84 ACS pa-tients with malignant tumors treated with coronary intervention,a total of 14 died and 70 survived;Univariate analysis showed that age,sex,hypertension,body mass index(BMI),old myocardial infarction,hyperlipidemia,hemoglobin(HB),and parenteral anti-coagulant therapy were not related to the death of ACS patients with malignant tumor after coronary intervention(P＞0.05),while diabetes,smoking,brain natriuretic peptide(BNP)level,and platelet count(PLT)were related to the death of ACS patients with malignant tumor after coronary intervention(P＜0.05);Multivariate logistic regression analysis showed that diabetes(OR = 9.167,95%CI =2.311～36.360),smoking(OR =16.105,95%CI =3.294～78.734),increased BNP level(OR =19.759,95%CI =4.634～359.79),and decreased PLT(OR =18.231,95%CI =3.954～230.64)were the main factors influencing the death of ACS patients with malignant tumors after coronary intervention(P＜0.05).Conclusion The mortality rate of ACS pa-tients with malignant tumor after coronary intervention treatment is high.The occurrence of death is related to diabetes,smoking,the increase of BNP level,and the decrease of PLT.Clinical attention should be paid and targeted medical intervention should be carried out to improve the prognosis of patients to the greatest extent.
万方数据
维普
