摘要
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。
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 ventrieular 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.
出处
《当代医学》
2013年第7期7-9,共3页
Contemporary Medicine
关键词
梗死前心绞痛
急性心肌梗死
病程
预后
Preinfarction angina
Acute myocardial infarction
Course of the disease
Prognosis
