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| 急性心肌梗死溶栓再通后心力衰竭的危险因素 | |
| 引用本文： | 李臣,骆琪芳,刘亚丽,王晓凤. 急性心肌梗死溶栓再通后心力衰竭的危险因素[J]. 临床荟萃, 2015, 30(2): 181-184 |
| 作者姓名： | 李臣 骆琪芳 刘亚丽 王晓凤 |
| 作者单位： | 秦皇岛市工人医院,河北 秦皇岛,066200 |
| 摘 要： | 目的：探讨急性心肌梗死溶栓再通后住院期间发生心力衰竭的危险因素。方法选取我院住院的急性ST 段抬高型心肌梗死(STEMI)溶栓再通后的患者130例,根据住院期间是否发生心力衰竭,分为心力衰竭组31例和非心力衰竭组99例。比较两组患者一般临床特征、危险因素、血压、白细胞计数(WBC)、肌钙蛋白(cTnI)、生化指标、心肌梗死面积(MIA)、左心室射血分数(LVEF)、B 型脑钠肽(BNP)等相关指标,分析 STEMI 患者溶栓再通后住院期间发生心力衰竭的因素。结果2组间年龄、糖尿病史、发病到血管再通时间、收缩压、前壁心肌梗死及广泛前壁心肌梗死比例、MIA、血糖、cTnI、WBC、γ-谷氨酰转肽酶(GGT)、LVEF、BNP 比较,差异具有统计学意义(P <0.05)。发病到血管再通时间延长(OR =4.402,95% CI =1.565~12.382)、收缩压升高(OR =1.095,95% CI =1.019~1.175)、高血糖(OR =2.132,95% CI =1.127~4.033)、高 cTnI(OR =1.352,95% CI =1.031~1.773)、GGT 升高(OR =1.182,95% CI =1.204~1.365)、高 MIA(OR =1.656,95% CI =1.162~2.360)是 STEMI 溶栓再通患者住院期间发生心力衰竭的危险因素。结论发病到血管再通时间延长、收缩压升高、高血糖、高 cTnI、GGT 升高及高MIA 是 STEMI 溶栓再通患者住院期间发生心力衰竭的危险因素。 |
| 关 键 词： | 高血压 血同型半胱氨酸 血压变异性 |
Risk factors for heart failure in patients with acute myocardial infarction after successful thrombolysis |
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| Li Chen,Luo Qifang,Liu Yali,Wang Xiaofeng. Risk factors for heart failure in patients with acute myocardial infarction after successful thrombolysis[J]. Clinical Focus, 2015, 30(2): 181-184 | |
| Authors: | Li Chen Luo Qifang Liu Yali Wang Xiaofeng |
| Affiliation: | Li Chen;Luo Qifang;Liu Yali;Wang Xiaofeng;Department of Cardiology,Qinhuangdao Workers’ Hospital; |
| Abstract: | Objective To investigate the risk factors for hospitalization heart failure for inpatients with acute ST-segment elevation myocardial infarction(STEMI)after successful thrombolysis.Methods A total of 130 inpatients with STEMI after successful thrombolysis |
| Keywords: | myocardial infarction heart failure thrombolysis risk factors metabolic syndrome prognosis |
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