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急性心肌梗死并发右束支传导阻滞的预后 被引量:1

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摘要 目的 了解伴随急性心肌梗死出现的完全性右束支传导阻滞的临床特点和预后意义。方法 观察有新出现持续性完全性右束支传导阻滞的急性心肌梗死患者 2 0例 (观察组 ) ,同期收治的无右束支传导阻滞的急性心肌梗死患者 184例 (对照组 )的CK峰值、Killip分级、严重心律失常发生率、LVEF和住院病死率等情况。结果 观察组CK峰值15 30± 10 6 9U/L及CK -MB峰值 2 39± 16 5U/L明显高于对照组 95 6± 713U/L及 117 1± 6 0 6U/L ,P <0 0 1。观察组Killip平均级别 (2 5 5± 0 95 )明显高于对照组 (1 71± 0 82 ) ,P <0 0 1。观察组室性恶性心律失常发生率 2 0 % ,明显高于对照组3 8%P均 <0 0 1。观察组的住院病死率 30 %显著高于对照组 7 1% ,P <0 0 1。结论 急性心肌梗死出现持续性完全性右束支传导阻滞提示临床病情危险 。
作者 陈珍珍
出处 《心脑血管病防治》 2003年第4期33-34,共2页 CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT
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