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|本期目录/Table of Contents|

急性心肌梗死患者纤维蛋白原含量与冠状动脉病变程度及预后有关(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第1期
页码:
65-66
栏目:
临床研究
出版日期:
2007-01-01

文章信息/Info

Title:
Fibrinogen is associated with severity of coronary artery disease and prognosis in acute myocardial infarction
作者:
肖军; 唐发宽; 王龙
解放军总医院第二附属医院心内科,北京 100091
Author(s):
XIAO Jun;  TANG Fakuan;  WANG Long
Department of Cardiology, Second Affiliated Hospital, PLA General Hospital, Beijing 100091, China
关键词:
心肌梗塞; 急性; 纤维蛋白原; 冠状动脉疾病
Keywords:
myocardial infarction;  acute;  fibrinogen; coronary disease
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 探讨纤维蛋白原（FIB）含量与急性心肌梗死(AMI)冠脉病变程度及预后的关系。方法 根据AMI初期FIB含量将90例AMI分为两组，A组FIB值>4 g/L, B组FIB值≤4 g/L。将两组冠脉造影结果及预后进行比较分析。结果 A组多支血管病变33例（占73％）、梗死相关血管近端病变36例（占80％）、心力衰竭10例（占22%）、严重心律失常14例（占31%）、梗死后心绞痛11例（占24%），与B组分项比较差异显著（P<0.05）。结论 FIB增多的急性AMI多为多支血管病变,梗死相关血管多为近端病变，预后不好。
Abstract:
AIM To explore the relation between the severity of coronary artery disease, prognosis and fibrinogen in acute myocardial infarction (AMI). METHODS Ninety patients with AMI were divided into two groups (group A: fibrinogen >4 g/L, group B: fibrinogen≤4 g/L) based on fibrinogen. The data of both groups were compared with coronary angiographic findings and prognosis. RESULTS In group A, there were 33 (73%) multivessel disease, 36 (80%) proximal lesions of infarction related artery, 10 (22%) cases of heart failure, 14 (31%) cases of serious cardiac arrhythmia, and 11 (24%) cases of postinfarction angina pectoris. There was significant difference in above indexes between group A and group B (P<0.05). CONCLUSION Multivessel disease, proximal lesion of infarction related artery and poor prognosis are found in patients with AMI with high fibrinogen.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2006-06-30.作者简介：肖军，硕士生，主治医师Email:xxxjjj6288@sina.com
更新日期/Last Update: