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梗塞前48小时内心绞痛发作对初次心肌梗塞近期预后的影响
引用本文:程友琴 崔吉君. 梗塞前48小时内心绞痛发作对初次心肌梗塞近期预后的影响[J]. 心肺血管病杂志, 1996, 15(2): 66-68,81
作者姓名:程友琴 崔吉君
作者单位:北京军区总医院
摘    要:
本文对397例初次心肌梗塞患者根据其发病前48小时内有无心绞痛分组,比较其并发症和近期转归。有心绞痛组(PAP组)174例,无心绞痛组(对照组)223例,两组基本临床情况类似,PAP组入院48小时内及住院期间心衰与严重心律失常发生率明显低于对照组;入院48小时内血浆CPK峰值及住院期病死率亦低于对照组,可能与心脏缺血预适应有关。

关 键 词:初次急性心肌梗塞,梗塞前心绞痛,缺血预适应

The Effect of Preceding Angina Pectoris in the Short-term Prognosis of First Acute Myocardial Infarction
Cheng Youqin and Cui Jijun,. The Effect of Preceding Angina Pectoris in the Short-term Prognosis of First Acute Myocardial Infarction[J]. Journal of Cardiovascular and Pulmonary Diseases, 1996, 15(2): 66-68,81
Authors:Cheng Youqin  Cui Jijun  
Abstract:
cases of first attack of acute myocardial infarction(AMI)were investigated to examine the effect of preceding angina pectoris(PAP)on the short-term prognosis.Patients were divided into 2 groups:(1)PAP group:angina occurred within 48 hours before AMI onset.(2)control group:no angina occurred within 48 hours before AMI onset.The basic clinical characteristics of the 2 groups were similar.Result showed heart failure and serious arrhythmia occurred within 48 hours after admission and during hospitalization were lower in PAP group than control.The peak value of CPK within 48 hours after admission and fatality rate during hospitalization were also lower in PAP group than control.Whether these results were related to the ischemia preconditioning,further clinicl and experimental investigation were needed.
Keywords:First acute myocardial infarction  Preceding angina pectoris before AMI  Ischemia preconditioning
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