风险指数对急性心肌梗死病人预后的评估

目的探讨风险指数与急性心肌梗死 (AMI)病人早期病情变化及预后评估的相关性。方法对 80例确诊为AMI病人的风险指数进行测评。结果风险指数随年龄增加、心率 (HR)增快、收缩压 (SBP)下降而升高 (P <0 .0 5 ,P <0 .0 1) ,尤其是SBP低于 90mmHg者风险指数明显增大 ;风险指数 >30者住院期间急性左心衰发生率和病死率较≤ 30者显著增加 (均P <0 .0 1)。结论风险指数与AMI病人早期急性左心衰发生率和病死率密切相关 ,是评估AMI病人早期病情变化和预后的有效方法。

Risk Index for Predicting Acute Myocardial Infarction

Objective To investigate the relationship between risk index and the early disease conditions of the patients with acute myocardial infarction and prognosis evaluation. Methods The risk index of 80 patients confirmed with acute myocardial infarction was monitored. Results The risk index was elevated with the increase of age, increment of heart rate and the decrease of systolic blood pressure (P<0.05, P<0.01). Especially in the patients with systolic blood pressure less than 90 mmHg, the risk index was obviously increased; In the patients with risk index more than 30 during hospital stay, the morbidity of acute left heart failure and mortality was significantly increased(all P< 0.01). Conclusion Risk index was closely related with the incidence of early acute left heart failure and mortality in the patients with acute myocardial infarction. Risk index is an effective method for predicting the patients with acute myocardial infarction.