急性下壁或合并右心室心肌梗死患者左心衰竭的危险因素分析

发布时间：2018-07-07 16:34

  本文选题：心肌梗死 + 心力衰竭　； 参考：《中国循环杂志》2017年01期

【摘要】：目的 :探讨急性下壁或合并右心室心肌梗死患者心力衰竭(心衰)的危险因素。方法 :将我院2013-01至2015-06期间143例因急性下壁或合并右心室心肌梗死入院患者按是否发生心衰,分为心衰组81例,非心衰组62例,从年龄、性别、高血压等因素对心衰形成的危险因素进行回顾性分析。结果 :心衰组高血压、女性、超敏C反应蛋白、血肌酐、入院后第3天补液量、以V4~6导联ST段压低为主发生比例显著高于非心衰组,而入院时舒张压显著低于非心衰组。经多因素Logistic回归分析显示,高血压[OR=3.275,95%可信区间(CI):1.220~8.793)、女性(OR=13.236,95%CI:3.476~50.405)、超敏C反应蛋白(OR=1.029,95%CI:1.005~1.070)、入院时低舒张压(OR=0.945,95%CI:0.911~0.979)、血肌酐(OR=1.053,95%CI:1.029~1.078)、以V4~6导联ST段压低为主(OR=4.118,95%CI:1.395~12.154)均与心衰事件呈正相关。结论 :急性下壁或合并右心室心肌梗死患者发生心衰比例较高,且受多种因素影响。其中高血压、女性、入院时舒张压、超敏C反应蛋白、血肌酐、伴V4~6导联ST段压低为主是急性下壁或合并右心室心肌梗死患者发生心衰的独立危险因素。
[Abstract]:Objective: to investigate the risk factors of heart failure in patients with acute inferior wall or right ventricular myocardial infarction. Methods: from January 2013 to June 2015-06, 143 patients with acute inferior wall or right ventricular myocardial infarction were divided into two groups: heart failure group (n = 81) and non-heart failure group (n = 62). The risk factors of heart failure were analyzed retrospectively by hypertension and other factors. Results: the incidence of hypertension, female, hypersensitive C-reactive protein, serum creatinine, the volume of fluid rehydration on the 3rd day after admission, the incidence rate of St segment depression in lead V4 + 6 was significantly higher than that in the non-CHF group, and the diastolic blood pressure was significantly lower at admission than that in the non-CHF group. 缁忓�氬洜绱燣ogistic鍥炲綊鍒嗘瀽鏄剧ず,楂樿��鍘媅OR=3.275,95%鍙�淇″尯闂�(CI):1.220~8.793),濂虫，

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