| 梗死前心绞痛病程对急性心肌梗死预后的影响 |
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| 引用本文： | 马圣庭,贾如意,姜婕,赵成军. 梗死前心绞痛病程对急性心肌梗死预后的影响[J]. 心脏杂志, 2008, 20(5): 602-604. DOI: 10.13191/j.chj.2008.05.96.masht.007 |
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| 作者姓名： | 马圣庭 贾如意 姜婕 赵成军 |
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| 作者单位： | 济南市第四人民医院心内科,济南市心血管病研究所,山东济南250031 |
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| 摘 要： | 目的探讨梗死前心绞痛（PA）不同病程时间对ST段抬高心肌梗死（STEMI）近、远期预后的影响并分析预后相关因素。方法随访2001年1月2006年1月住院的326例首次STEMI患者,随访到300例,根据PA病程时间分为长期（A）、近期（B）、短期（C）3组,比较临床特征及主要不良心脏事件（MACE）发生率。结果①A组总心源性死亡率及远期主要不良心脏事件（MACE）发生率显著高于C组。②COX分析显示首次心肌梗死后未行PCI是STEMI患者死亡的独立预测因素。结论长期心绞痛患者STEMI后远期MACE发生率高于短期心绞痛组;首次心梗后未行PCI是STEMI患者死亡的独立预测因素。
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| 关 键 词： | 心肌梗死 急性 心绞痛 梗死前 预后 |
Effects of various preinfarction angina on prognosis in patients after first myocardial infarction |
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| MA Sheng-ting,JIA Ru-yi,JIANG Jie,ZHAO Cheng-jun. Effects of various preinfarction angina on prognosis in patients after first myocardial infarction[J]. Chinese Heart Journal, 2008, 20(5): 602-604. DOI: 10.13191/j.chj.2008.05.96.masht.007 |
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| Authors: | MA Sheng-ting JIA Ru-yi JIANG Jie ZHAO Cheng-jun |
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| Affiliation: | MA Sheng-ting,JIA Ru-yi,JIANG Jie,ZHAO Cheng-jun (Department of Cardiology,Fourth People's Hospital,Jinan 250031,Sh,ong,China) |
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| Abstract: | AIM To retrospectively evaluate the effects of different course of preinfarction angina(PA) on short-term and long-term prognosis in patients after first ST-segment-elevated myocardial infarction(STEMI) and to analyze the affecting factors.METHODS Of the 326 consecutive patients with first STEMI hospitalized in our hospital from January of 2001 to January of 2006,300 patients were followed up and assigned respectively to long-term group(A),medium-term group(B),and short-term PA group(C) according to differe... |
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| Keywords: | myocardial infarction acute preinfarction angina prognosis |
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