急性心肌梗死合并心律失常的临床特征被引量：39

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摘要目的探讨急性心肌梗死合并心律失常的临床特征及诊断评价。方法收治急性心肌梗死患者103例,将并发心律失常的患者定义为观察组,未并发心律失常的患者定义为对照组,回顾分析两组患者的临床资料。结果①103例急性心肌梗死患者有75例并发心律失常,占72.8%。②观察组患者血清肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)、α-羟丁酸脱氢酶(HBDH)、天冬氨酸氨基转移酶(AST)与对照组相比,差异无统计学意义(均P>0.05)。③103例患者的心肌肌钙蛋白I(cTnI)定性均为阳性,两组患者的cTnI阳性率差异无统计学意义(P>0.05)。④急性心肌梗死患者可以同时合并多种类型的心律失常。结论急性心肌梗死患者合并心律失常的类型与心肌梗死部位密切相关,但心肌酶学指标定量、cTnI定性不能鉴别急性心肌梗死患者是否合并心律失常,心电图检查是确定急性心肌梗死患者合并心律失常的主要方法。

作者符史健

机构地区海口市府城医院心内科

出处《中国老年学杂志》 CAS CSCD 北大核心 2011年第18期3508-3509,共2页 Chinese Journal of Gerontology

关键词急性心肌梗死心律失常急性冠脉综合征心肌酶学指标心电图

分类号 R542.22 [医药卫生—心血管疾病]

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