A two-year follow-up for Chinese patients with abdominal aortic aneurysm undergoing open/endovascular repair

作     者：Sun Tao Zhang Hongju Cheng Yutong Wang Su Tao Ying Zhang Donghua Huang Ji Zhang Jingmei Li Zhizhong 

作者机构：Division of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China Department of Ultrasound State Key Laboratory of Cardiovascular Disease Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2014年第127卷第3期

页      面：457-461页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：This study was supported by grants from the Basic-Clinical Topics of Capital University of Medical Sciences (No.12JL58) Anzhen Hospital President Fund (No.2012Z05 and No.2011F03) and the National Natural Science Foundation of China (No.81000130) 

主　　题：abdominal aortic aneurysms coronary artery disease coronary artery bypass grafting percutaneous coronary intervention 

摘      要：Background A number of studies have demonstrated the rates of overall and aneurysm-related mortality and morbidity in Western *** cardiovascular risk factors influencing postoperative outcome have been also *** recently,little has been known about the prognosis in this patient cohort in the Chinese *** evaluated the independent predictors of mortality and morbidity in abdominal aortic aneurysm （AAA） patients undergoing elective surgical treatment and emphasized whether the coronary artery revascularization could have any effect on the overall mortality and morbidity in patients following the current guideline *** A total of 386 patients （174 women） undergoing surgery in Beijing Anzhen Hospital from January 2008 to June 2010 were enrolled （mean age （70.6±10.5） years）.Kaplan-Meier curves were constructed to compare the mortality and morbidity of AAA patients with coronary artery revascularization and those without.A Cox proportional hazards model was constructed to identify clinical factors associated with two-year *** primary outcomes were death from any cause,the pre-specified morbidity was re-hospitalization for pulmonary conditions,congestive heart failure,angina,ischemic/hemorrhagic *** During the two-year follow-up,34 patients died and 65 experienced re-hospitalization with pulmonary conditions,congestive heart failure,angina,or ischemic/hemorrhagic ***-Meier survival analysis showed that the AAA patients with cardiac revascularization had no higher incidence of overall mortality and major morbidity than those without （log-rank test P=0.35 and P=0.40,respectively）.Cox proportional hazards regression analysis showed that level of low-density lipoprotein （HR,4.06; 95％ CI：1.19-18.7,P=0.027） and AAA size （HR,2.18; 95％ CI：1.28-11.65,P=0.036） were independently associated with the incidence of overall ***-term use of angiotensin converting enzyme inhibitors,statins,AAA size an