| 红细胞分布宽度与急性ST段抬高型心肌梗死长期预后相关性研究 |
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| 引用本文： | 逯春鹏,满秀荣,穆纳新,刘昶,周杰,崔遥盼,王海连,王丽. 红细胞分布宽度与急性ST段抬高型心肌梗死长期预后相关性研究[J]. 中华实用诊断与治疗杂志, 2019, 0(6): 550-553 |
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| 作者姓名： | 逯春鹏 满秀荣 穆纳新 刘昶 周杰 崔遥盼 王海连 王丽 |
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| 作者单位： | 清华大学第一附属医院心内科;清华大学玉泉医院心内科;首都医科大学附属北京友谊医院急诊医学科 |
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| 基金项目： | 国家自然科学基金(81470491) |
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| 摘 要： | 目的探讨红细胞分布宽度(red blood cell distribution width, RDW)对急性ST段抬高型心肌梗死(ST-segment elevation myocardial infarction, STEMI)患者临床长期预后的影响。方法 STEMI患者315例,均测定RDW,并根据RDW中位数水平分为高RDW组(RDW≥13.51%)151例和低RDW组(RDW<13.51%)164例,比较2组住院期间和随访3 a时主要不良心血管事件(major adverse cardiovascular event, MACE)发生率和病死率,采用Cox比例风险回归模型分析STEMI患者随访3 a时MACE发生的影响因素。结果高RDW组住院期间和随访3 a时MACE发生率(31.79%、12.58%)和病死率(19.21%、7.28%)均高于低RDW组(18.90%、4.88%,6.71%、3.05%)(P<0.05);年龄增高(RR=1.046,95%CI:1.004~1.092,P=0.032)、左室射血分数降低(RR=0.961,95%CI:0.928~0.996,P=0.027)、RDW增高(RR=1.456,95%CI:1.154~1.838,P=0.002)是STEMI患者随访3 a时MACE发生的影响因素。结论 RDW对STEMI的长期预后具有预测价值。
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| 关 键 词： | 急性心肌梗死 红细胞分布宽度 危险因素 预后 |
Correlation between red blood cell distribution width and long-term outcomes after acute ST-segment elevation myocardial infarction |
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| LU Chunpeng,MAN Xiurong,MU Naxin,LIU Chang,ZHOU Jie,CUI Yaopan,WANG Hailian,WANG Li. Correlation between red blood cell distribution width and long-term outcomes after acute ST-segment elevation myocardial infarction[J]. Journal of Practical Diagnosis and Therapy, 2019, 0(6): 550-553 |
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| Authors: | LU Chunpeng MAN Xiurong MU Naxin LIU Chang ZHOU Jie CUI Yaopan WANG Hailian WANG Li |
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| Affiliation: | (Department of Cardiology,the First Hospital of Tsinghua University,Beijing 100016,China;Department of Cardiology,Tsinghua University Yuquan Hospital,Beijing 100040,China;Department of Emergency,Beijing Friendship Hospital of Capital Medical University,Beijing 100050,China) |
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| Abstract: | LU Chunpeng;MAN Xiurong;MU Naxin;LIU Chang;ZHOU Jie;CUI Yaopan;WANG Hailian;WANG Li(Department of Cardiology,the First Hospital of Tsinghua University,Beijing 100016,China;Department of Cardiology,Tsinghua University Yuquan Hospital,Beijing 100040,China;Department of Emergency,Beijing Friendship Hospital of Capital Medical University,Beijing 100050,China) |
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| Keywords: | acute myocardial infarction red blood cell distribution width risk factors prognosis |
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