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目的 探讨急性心肌梗死 (AMI)猝死的高危因素。方法 对确诊为 AMI的住院患者 ,其中 AMI猝死组 94例 ,AMI非猝死组 (包括住院期间非猝死性死亡及存活者 ) 6 0 9例。所有患者住院期间的临床资料、实验室检查和心电图等 80多项指标均给以统计和分析。结果 两组分析比较 :情绪应激、高血压、脑卒中史、梗死时有心衰、梗死时有休克或低血压、心率偏慢、QRS低电压、心室复极指标异常、高血糖、高脂血症、室内传导阻滞等有统计学意义。结论 AMI最高危险因素是心肌梗死有心室复极异常、左室功能减低、室性心律失常 ,并伴有严重情绪应激。
Objective To investigate the risk factors of sudden death in acute myocardial infarction (AMI). Methods 94 hospitalized patients diagnosed as AMI were randomly divided into AMI sudden death group (n = 94) and AMI non-sudden death group (including non-sudden death and survivors during hospitalization). All patients were hospitalized during the clinical data, laboratory tests and more than 80 indicators of ECG are given statistics and analysis. Results Two groups were analyzed and compared: emotional stress, hypertension, history of stroke, heart failure during infarction, shock or hypotension during infarction, heart rate, QRS low voltage, abnormal ventricular repolarization index, hyperglycemia, Serum, room conduction block and so statistically significant. Conclusion The highest risk factors for AMI are ventricular repolarization syndrome, left ventricular dysfunction, ventricular arrhythmia and severe emotional stress.