急性心肌梗死恢复期新发房颤的发生率与危险因素 |
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引用本文: | 汪沁沁,叶晨阳,任雨笙,樊 民,吴宗贵. 急性心肌梗死恢复期新发房颤的发生率与危险因素[J]. 心脏杂志, 2015, 27(5): 585-587 |
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作者姓名: | 汪沁沁 叶晨阳 任雨笙 樊 民 吴宗贵 |
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作者单位: | (1.第二军医大学长征医院心血管内科,上海 200003; |
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摘 要: | 目的 分析急性心肌梗死(AMI)患者恢复期(心肌梗死28 d后)出现新发房颤的发生率与危险因素。方法 回顾性分析2009年6月~2011年6月全部212例因AMI入住长征医院治疗且无房颤病史的患者一般情况,相关检查结果,以及心肌梗死1年内后续治疗、转归情况,并对可能影响患者恢复期新发房颤的因素进行logistic回归模型分析。结果 多因素logistic回归分析表明,高龄(P<0.05,OR=5.61),高血压病(P<0.05,OR=5.89),左心室射血分数(LVEF)降低(P<0.01,OR=6.3),未行急诊经皮冠状动脉介入(PCI)术(P<0.01,OR=6.01),糖尿病(P<0.05,OR=3.59)以及出院后无法耐受β受体阻滞剂治疗(P<0.01,OR=6.1)等是新发房颤的危险因素。结论 AMI患者恢复期出现新发房颤的危险因素为高龄,高血压病,LVEF降低,未行急诊PCI术,糖尿病以及出院后无法耐受β受体阻滞剂治疗。
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关 键 词: | 心肌梗死 急性 房颤 危险因素 logistic回归模型 |
收稿时间: | 2015-01-25 |
Risk factors of new-onset atrial fibrillation during recovery period of acute myocardial infarction |
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Abstract: | AIM To explore the risk factors of new onset atrial fibrillation (AF) during the recovery period (>28 days) of acute myocardial infarction (AMI). METHODS Clinical data of 212 AMI patients during 1 year after admission were retrospectively analyzed, including the general conditions, test results, treatment and follow-up data. Patients were admitted to hospital for AMI from June 2009 to June 2011. Logistic regression analysis was conducted to analyze the risk factors of new-onset AF after hospital discharge. RESULTS Logistic regression analysis showed that age >75 years (P<0.05, OR=5.61), hypertension (P<0.05, OR=5.89), LVEF<50% (P<0.01, OR=6.3), non-emergency PCI (P<0.01, OR=6.01), diabetes mellitus (P<0.05, OR=3.59) and β-blocker intolerance (P<0.01, OR=6.1) were associated with an increased risk of new-onset AF during the recovery period of myocardial infarction. CONCLUSION Age >75 years, hypertension, LVEF<50%, non-emergency PCI, diabetes mellitus and β-blocker intolerance are risk factors for new-onset AF during the recovery period of AMI. |
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