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伴高血压的急性心肌梗塞临床特点 被引量:2

The Clinical Characteristics of Patients with Hypertension in Acute Myocardial Infarction
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摘要 目的探讨高血压(HT)对急性心肌梗塞(AMI)临床表现与预后的影响。方法对照分析了535例有HT病史和617例无高血压病史(NHT)的AMI临床资料。结果HT组吸烟、饮酒、家族史阳性者,既往有糖尿病、脑卒中、心绞痛和陈旧性心肌梗塞史者均多于NHT组(P<0.05~0.001),心绞痛的病程也较长(P<0.001)。AMI于睡眠中发病,因劳累诱发者均少于NHT组(P<0.05~0.001)。HT组合并心衰、休克、室速室颤者与住院病死率均高于NHT组(P<0.05~0.001)。结论伴高血压的AMI具有更多的冠心病危险因素,严重心脏并发症较多,近期预后较差。 Aim \ To investigate the effect of hypertension (HT)on the clinical feature and shortterm prognosis in acute myocardial infarction(AMI).\ Methods \ The clinical data of 535 AMI patients complicated with HT were analysed and compared with 617 cases of AMI with nonhypertension(NHT).\ Results \ Compared with NHT group,the HT group had higher percentages of smoking, alcoholi drinking, family history of coronary heart disease( CHD) , prior myocardial infarction, angina pectoris and diabetes mellitus (P<0.05 0.001). The duration from the first angina attack to AMI onset were longer in HT group than it in NHT group (P<0.001). In HT group AMI precipitated by physical efforts and onset during sleeping were less than those in NHT group (14.8% vs 22.5%,P<0.001 and 8.2% vs 12.0%, P<0.05). Complicated with heart failure , cardiogenic shock and ventricular tachycardia or fibrillation were all more frequent than those in NHT group(27.3% vs 18.0%, P<0.001, 15.7% vs 11.2%and 6.7% vs 3.6% P<0.05,respectively) . The inhospital mortarlity was higher in HT group than it in NHT group (17.9% vs 9.6%, P<0.001). Conclusion The AMI patients with HT were more risky with more severe complications,HT is a deteriorate factor for the prognosis of AMI.
出处 《高血压杂志》 CSCD 1999年第2期125-127,共3页 Chinese Journal of Hypertension
关键词 心肌梗塞 高血压 临床特点 预后 acute myocardial infarction hypertension clinical characteristics prognosis,
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参考文献5

  • 1王文,高血压杂志,1997年,5期,83页
  • 2翟丽华,高血压杂志,1997年,5期,290页
  • 3翁新新,临床心血管病杂志,1996年,12卷,222页
  • 4蔡煦,高血压杂志,1995年,3期,277页
  • 5杨金云,高血压杂志,1995年,3期,32页

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