CAJ | 학술논문

目的探讨梗死前心绞痛病程对急性心肌梗死患者预后的影响,以期为急性心绞痛的预后预测提供参考依据.方法选取2007年1月~2009年1月四川省巴中市巴州区人民医院收治的诊断为急性心肌梗死的有完整病例资料的232例患者,并进行3年的随访观察,观察梗死情况、并发症及长期预后情况.结果远期心绞痛组的大面积梗死,下壁或右室梗死,频发室性期前收缩发生率,三支病变比例,再入院、再梗死及3年内死亡患者明显高于近期心绞痛组患者,差异有统计学意义(P<0.05).结论 AMI患者远期心绞痛患者梗死面积较大,容易发生严重的心率失常,并且远期预后较差.
목적탐토경사전심교통병정대급성심기경사환자예후적영향,이기위급성심교통적예후예측제공삼고의거.방법선취2007년1월~2009년1월사천성파중시파주구인민의원수치적진단위급성심기경사적유완정병례자료적232례환자,병진행3년적수방관찰,관찰경사정황、병발증급장기예후정황.결과원기심교통조적대면적경사,하벽혹우실경사,빈발실성기전수축발생솔,삼지병변비례,재입원、재경사급3년내사망환자명현고우근기심교통조환자,차이유통계학의의(P<0.05).결론 AMI환자원기심교통환자경사면적교대,용역발생엄중적심솔실상,병차원기예후교차.
Objective To investigate the impact of duration of angina on prognosis of patients with acute myocardial infarction, in order to provide a reference for acute angina prognostic. Methods 232 patients with discharge diagnosis of acute myocardial infarction and complete clinical data who hospitalized in Cardiology department of our hospital from January 2007 to January 2009 were followed-up three years observation.The infarction, complications and long-term prognosis were observed. Results The proportion of large area of infarction, inferior wall or right ventricular, frequent ventricular premature incidence, three-vessel disease, readmission, reinfarction, and died within 3 years in the forward angina group were significantly higher than that in patients with recent angina.The differences were statistically significant (P<0.05). Conclusion Acute myocardial infarction patients with long-term angina prone to infarct large area infarction and serious arrhythmia, and have poor long-term prognosis.