CAJ | 학술논문

目的研究静息心率与稳定心绞痛及急性冠脉综合征的关系.方法2009年7月~2010年10月在本院住院的冠心病患者445例,分为稳定心绞痛组(S组,n=268)和急性冠脉综合征组(U组,n=177),分析静息心率与冠心病不良心血管事件发生的相关性.结果 U组的静息心率明显高于S组(P<0.01).Logistic回归分析显示,校正年龄、舒张压、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、血尿酸、空腹血糖及餐后2 h血糖等因素后,静息心率(OR=1.052,95%CI:1.009~1.097, P=0.017)、收缩压(OR=1.027,95%CI:1.003~1.053, P=0.031)和甘油三酯(OR=2.743,95%CI:1.207~6.233, P=0.016)仍是冠心病的独立危险因素.结论静息心率是急性冠脉综合征的独立危险因素.
목적연구정식심솔여은정심교통급급성관맥종합정적관계.방법2009년7월~2010년10월재본원주원적관심병환자445례,분위은정심교통조(S조,n=268)화급성관맥종합정조(U조,n=177),분석정식심솔여관심병불양심혈관사건발생적상관성.결과 U조적정식심솔명현고우S조(P<0.01).Logistic회귀분석현시,교정년령、서장압、총담고순、고밀도지단백담고순、저밀도지단백담고순、혈뇨산、공복혈당급찬후2 h혈당등인소후,정식심솔(OR=1.052,95%CI:1.009~1.097, P=0.017)、수축압(OR=1.027,95%CI:1.003~1.053, P=0.031)화감유삼지(OR=2.743,95%CI:1.207~6.233, P=0.016)잉시관심병적독립위험인소.결론정식심솔시급성관맥종합정적독립위험인소.
Objective To investigate the relationship between resting heart rate (RHR) and coronary heart disease (CHD) and to explore the value of RHR in predicting the occurrence of acute coronary syndrome. Methods 445 patients with CHD were divided into stable angina group and acute coronary syndrome group. RHR, risk factors for coronary heart disease and their correlation were analyzed. Results RHR was higher in the acute coronary syndrome group than in the stable angina group (P<0.01). Logistic regression analysis showed that RHR (OR=1.052, 95%CI:1.009~1.097, P=0.017), systolic blood pressure (OR=1.027, 95%CI:1.003~1.053, P=0.031) and hyperglycemia (OR=2.743, 95%CI:1.207~6.233, P=0.016) were independent risk factors for acute coronary syndrome. Conclusion RHR is an independent risk factor for incidence of acute coronary syndrome.