急性心肌梗死后二尖瓣返流与心房纤颤的关系
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2011年第6期
- 页码:
- 761-762，778
- 栏目:
- 临床研究
- 出版日期:
- 2011-12-25
文章信息/Info
- Title:
- Relationship between atrial fibrillation and acute myocardial infarction with mitral regurgitation
- Author(s):
- ZHANG Zhi-ping; LIU Ru-yuan; LIU Cheng-wei; CHEN Guo-hong; SU Xi
- Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan 430022, Hubei, China
- 分类号:
- R541.4
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的:探讨急性心肌梗死（AMI）后缺血性二尖瓣返流与初发心房纤颤（atrial fibrillation,AF）的关系。方法： 回顾性分析269例AMI患者的临床资料，排除既往有AF和原发瓣膜病的病例，根据二尖瓣返流程度分为2组：无返流组（n=165）和返流组(n=104)。AF通过住院期间心电图或心电监护诊断。结果： 无返流组和返流组新发AF分别为15例(9.1%)和22例(21.2%)(P<0.01)。结论： AMI后二尖瓣返流与AF发生有密切的关系。
- Abstract:
- AIM:To explore the relationship between atrial fibrillation (AF) and acute myocardial infarction (AMI) with ischemic mitral regurgitation (MR). METHODS: Clinical data of 269 consecutive patients with AMI were retrospectively analyzed. Patients with known AF and intrinsic valve disease were excluded. Study patients were divided into two groups based on the degree of MR diagnosed by echocardiography: no MR (Group A) and MR (Group B). AF was diagnosed by electrocardiogram or monitoring at any time during the hospital stay. RESULTS: According to results of analysis, Group A included 165 patients and Group B included 104 patients. The number of newly developed cases of AF was 15 (9.1%) patients and 22 (21.2%) patients, respectively, in Group A and Group B (P<0.01). CONCLUSION: There is a close association between AF and AMI with MR.
参考文献/References
[1]Rathore SS,Berger AK,Weinfurt KP.Acute myocardial infarction complicated by atrial fibrillation in the elderly: prevalence and outcomes[J].Circulation,2000,101(9):969-974.
[2]Bahouth F,Mutlak D,Furman M,et al.Relationship of functional mitral regurgitation to new-onset atrial fibrillation in acute myocardial infarction[J].Heart,2010,96(9):683-688.
[3]Schmitt J,Duray G,Gersh BJ,et al.Atrial fibrillation in acute myocardial infarction: a systematic review of the incidence, clinical features and prognostic implications[J].Eur Heart J,2009,30(9):1038-1045.
[4]中华医学会心血管病学分会,中华心血管病杂志编辑委员会,中国循环杂志编辑委员会.急性心肌梗死诊断和治疗指南[J].中华心血管病杂志,2001,29(12):710-725.
[5]Schroder JN, Williams ML, Hata JA,et al.Impact of mitral valve regurgitation evaluated by intraoperative transesophageal.echocardiography on long-term outcomes after coronary artery bypass grafting[J].Circulation,2005,112(9 Suppl):I293-I298.
[6]Lopes RD,Pieper KS,Horton JR,et al.Short- and long-term outcomes following atrial fibrillation in patients with acute coronary syndromes with or without ST-segment elevation[J]. Heart,2008,94(7):867-873.
[7]Pedersen OD,Abildstrom SZ,Ottesen MM,et al.Increased risk of sudden and non-sudden cardiovascular death in patients with atrial fibrillation/flutter following acute myocardial infarction[J].Eur Heart J,2006,27(3):290-295.
[8]Grigioni F,Avierinos JF,Ling LH,et al.Atrial fibrillation complicating the course of degenerative mitral regurgitation: determinants and long-term outcome[J].J Am Coll Cardiol,2002,40(1):84-92.
[9]Gluckman TJ,Sachaev M,Schulman SP,et al.A simplified approach to the management of non-ST-segment elevation in acute coronary syndrome[J].JAMA,2005,293(3):349-357.[9]Ravelli F,Allessie M.Effects of atrial dilatation on refractory period and vulnerability to atrial fibrillation in the isolated Langendorff-perfused rabbit heart[J].Circulation,1997,96(5):1686-1695.
备注/Memo
- 备注/Memo:
- 收稿日期：2011-05-05.作者简介：张治平，副主任医师Email:blyynk@sohu.com
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