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|本期目录/Table of Contents|

急性心肌梗死患者心脏破裂的相关因素

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2016年第5期
页码:
549-551
栏目:
临床研究
出版日期:
2016-04-25

文章信息/Info

Title:
Relative factors in patients with acute myocardial infarction complicated by heart rupture
作者:
邢欣悦; 韩福生; 马临安; 曾玉杰
（首都医科大学附属北京安贞医院心肺血管抢救中心,北京 100029）
Author(s):
XING Xin-yue;  HAN Fu-sheng;  MA Lin-an;  ZENG Yu-jie
(Rescue Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China)
关键词:
心肌梗死; 急性; 心脏破裂; 相关因素
Keywords:
acute myocardial infarction;  cardiac rupture;  complication
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 分析急性心肌梗死(AMI)患者发生心脏破裂的相关因素。方法 连续选取本院急诊科2007年1月~2014年12月确诊急性心肌梗死的1 129例患者，经超声心动图证实发生心脏破裂的28例患者，分析相关临床因素。结果 年龄、血清肌酸激酶（CK）、脑钠尿肽（BNP）、左室射血分数（LVEF）、ST抬高振幅、性别、心肌梗死部位均对AMI患者发生心脏破裂有显著意义（均P<0.05）。结论 年龄大、女性、BNP水平显著升高、LVEF值显著降低、ST抬高振幅显著升高是心脏破裂的独立相关因素。
Abstract:
AIM To analyze the related factors of acute myocardial infarction (AMI) in patients with cardiac rupture. METHODSIncluded in this study were 28 patients with echocardiographic evidence of cardiac rupture out of the 1129 patients diagnosed with AMI from January 2007─December 2014 in our Emergency Department. Relevant clinical factors for AMI complicated by heart rupture were analyzed. RESULTSAge, serum creatine kinase (CK), brain natriuretic peptide (BNP), left ventricular ejection fraction (LVEF), ST elevation amplitude, gender and the position of AMI were all of significance for AMI in patients with cardiac rupture (all P<0.05). CONCLUSIONAdvanced age, female gender significantly, increased BNP levels, significantly lower LVEF levels and markedly increased ST elevation amplitude are all independent related factors for patients with AMI complicated by heart rupture.

参考文献/References

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[2]Khalil ME,Heller EN,Boctor F,et al.Ventricular free wall rupture in acute myocardial infarction[J].J Cardiovasc Pharmacol Ther,2001,6(3):231-236.
[3]Figueras J,Alcalde O,Barrabes JA,et al.Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period[J].Circulation,2008,118(25):2783-2789.
[4]Moreno R,López-Sendón J,García E,et al.rimary angioplasty reduces the risk of left ventricular free wall rup- ture compared withthrombolysis in patients with acute myocardial infarction[J].J Am Coll Cardiol,2002,39(4):598-603.
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备注/Memo

备注/Memo:
收稿日期：2015-03-22.
作者简介：邢欣悦，住院医师，硕士 Email：xingxinyuelele@sina.com
更新日期/Last Update: 2016-04-13