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本文旨在就当前在处理老年人非ST段抬高型急性冠脉综合征(ACS),尤其是使用抗血小板药物和选用积极介入干预或保守治疗措施时,对其30d内近期预后的影响进行了对照分析。对象与方法受试对象为来自意大利国内26个冠心病监护中心的1581例非ST段抬高型ACS老人,其中≥75岁者占546例(31%)。后者中221例于入院后4d内接受了冠脉造影,并均接受了积极介入干预治疗；余343例仅于入院4～30d内方才接受冠脉造影,皆仅接受保守治疗。另选1017例非老年非ST段抬高型ACS者作为对照组。观察分析接受积极介入干预或保守治疗对老年组30d内近期预后影响的差异与非老年组进行了比较。
The aim of this article is to assess the impact of current short-term outcomes in the 30 days in the management of non-ST-segment elevation acute coronary syndromes (ACS) in the elderly, in particular the use of antiplatelet agents and the use of aggressive interventions or conservative measures Control analysis. Subjects and Methods The subjects were 1581 non-ST segment elevation ACS patients from 26 CHD centers in Italy, of which 546 (31%) were ≥75 years of age. The latter 221 patients underwent coronary angiography within 4 days after admission and all received active intervention intervention. The remaining 343 patients received coronary angiography only within 4 to 30 days after admission, and received conservative treatment only. Another 1017 non-ST-segment elevation non-ACS patients as a control group. Observe and analyze the difference of the short-term prognosis of 30-day old group receiving active intervention or conservative treatment with the non-elderly group.