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|本期目录/Table of Contents|

急性心肌梗死血运重建术后远期预后的相关因素(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2005年第4期
页码:
373-375
栏目:
临床研究
出版日期:
2005-09-05

文章信息/Info

Title:
The relationship between case fatality and left ventricular function in the patients who received revascularization after acute myocardial infarction
作者:
王培宁1; 汪师贞1; 杨新春2; 杨舒玲2; 汪爱虎2; 陈明2
1． 新疆医科大学第一附属医院心血管病专科医院起搏电生理科,新疆 乌鲁木齐 830054；2． 首都医科大学附属北京朝阳医院心脏中心,北京 100020
Author(s):
WANG Peining1;  WANG Shizhen1;  YANG Xinchun2;  YANG Shuling2;  WANG Aihu2;  CHEN Ming2
1. Department of Cardiology， First Affiliated Hospital of Xingjiang Medical University， Wulumuqi,Xinjiang 830054, China;2. Heart Center， Beijing Chaoyang Hospital, Capital University of Medicine Sciences, Beijing 100020， China
关键词:
心肌梗死; 急性;  血运重建术;  左室功能;  病死率; 射血分数; 左室
Keywords:
myocardial infarcion; acute; revascularization; left ventricular function; case fatality; ejection fraction; left ventricular
分类号:
R542.22
DOI:
-
文献标识码:
A
摘要:
目的 探讨急性心肌梗死(AMI)后接受血运重建术（PCI，CABG）的患者左室功能与病死率、心源性再住院率的关系,从而了解血运重建术是否能改善左室衰竭患者的预后。方法 分析我院199901～200302住院患者102例，根据左室射血分数（LVEF）值分成3组,LVEF≤40%(15例), 40%＜LVEF＜50%(12例), LVEF≥50%(75例)，分别随访1～4年的病死率和心源性再住院率。结果 LVEF≤40%组病死率，心源性再住院率显著高于其他两组（P<0.05)，另两组没有明显差异。结论 左室功能衰竭的AMI患者接受血运重建术时，LVEF≤40%者，其预后差。
Abstract:
AIM To investigate the relationship between case fatality and left ventricular function in the patients who received revascularization after acute myocardial infarction. METHODS We analysed 102 patients from January 1999 to February 2003 in our hospitals, and divided them into three groups, they were LVEF≤40%(n=15)， 40%＜LVEF＜50%(n=12) and LVEF≥50%(n=75) groups respectively. We collected such data as sex, blood pressure, cigarettes, age, multivessel diseases, diabetes mellitus and so on. RESULTS The case fatality of LVEF≤40% group was significantly higer than those of the other two groups (P<0.05). CONCLUSION The case fatality of the patients with LVEF≤40% after acute myocardial infarction is higher than those of other groups, suggesting a bad prognosis.

参考文献/References

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［2］ Maiello L, Colombo A, Gianrossi R, et al. Survival after percutaneous transluminal coronary angioplasty in patients with severe left ventricular dysfunction［J］. Chest, 1994,105:733-740.

［3］ Reynen K, Kunkel B, Gansser R, et al. Percutaneous transluminal coronary angioplasty in patients with severely depressed function［J］. Cardiology, 1993, 83:358-366.

［4］ Shihara M, Tsutsui H, Tsuchihashi M, et al . Inhospital and one year outcomes for patients undergoing percutaneous coronary Intervention for acute myocardial infarction［J］. Am J Cardiol, 2002, 90 (9): 932-936.

［5］ Anonymous. Effect of enalapril on mortality and the development of heart failure in asymptomatic patients with reduced left ventricular ejection fractions. The SOLVD Investigators［J］. N Engl J Med, 1992,327:685-691.

［6］ Pfeffer MA, Braunwald E, Moye LA, et al. Effect of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction.Results of the survival and ventricular enlargement trial［J］. N Engl J Med, 1992,327:669-677.

备注/Memo

备注/Memo:
收稿日期：2004-08-21.
更新日期/Last Update: 2010-01-05