| 急性心肌梗死并发新出现的完全性右束支传导阻滞的临床意义 |
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| 引用本文： | 鲍冉.急性心肌梗死并发新出现的完全性右束支传导阻滞的临床意义[J].中国医药指南,2012,10(12):33-34. |
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| 作者姓名： | 鲍冉 |
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| 作者单位： | 山东华恒矿业有限公司医院特检科,山东,新泰,271202 |
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| 摘 要： | 目的探讨急性心肌梗死(AMI)伴发新出现的完全性右束支传导阻滞(CRBBB)的临床意义。方法选取AMI患者120例,分为两组,AMI伴发新出现的CRBBB患者43例作为观察组,单纯AMI患者77例作为对照组,对两组患者的心功能Killip分级、心律失常发生率及住院病死率等临床资料进行对比性分析。结果观察组发生快速或缓慢心律失常的比例、心功能Killip分级≥Ⅲ级的比例以及住院病死率均显著高于对照组(P<0.05)。结论 AMI伴发新出现的持续性CRBBB,提示临床病情凶险,预后不良,可作为AMI患者病情恶化的一个很有价值的预测指标。
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| 关 键 词： | 急性心肌梗死 完全性右束支传导阻滞 预后不良 |
The Clinical Significance of Acute Myocardial Infarction Combined with Complete Right Bundle Branch Block |
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| BAO Ran.The Clinical Significance of Acute Myocardial Infarction Combined with Complete Right Bundle Branch Block[J].Guide of China Medicine,2012,10(12):33-34. |
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| Authors: | BAO Ran |
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| Institution: | BAO Ran(Department of Special Examination,the Hospital of Huaheng Company,Xintai 271202,China) |
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| Abstract: | Objective To evaluate the clinical significance of acute myocardial infarction combined with complete right bundle branch block.Methods 120 cases of patients of acute myocardial infarction were divided into two groups,43 cases with acute myocardial infarction combined with complete right bundle branch block(CRBBB) were of observing group and 77 cases of acute myocardial infarction alone were of control group.Killip grading of heart function,incidence rate of severe arrhythmogenesis and case-fatality rate were compared.Results The incidence rate of tachyarrhythmia or bradyarrhythmia,the rate of Killip grading≥Ⅲ was higher in were significantly higher in observing group than those in control group(P<0.05).Conclusions Acute myocardial infarction combined with CRBBB suggests the severity of disease and the poor prognosis,which could be a valuable prediction of aggravation in patients with acute myocardial infarction. |
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| Keywords: | Acute myocardial infarction Complete right bundle branch block Poor prognosis |
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