摘要
目的 :探讨急性心肌梗死 (AMI)并发心房颤动 (AF)的临床和近期预后的意义。方法 :2 2 3例AMI患者入院后心电监护 5～ 7d ,比较并发AF组与无AF组的临床特征 ,住院期间严重并发症的发生率和病死率的差异。结果 :2 2 3例中并发AF2 5例 ,无AF198例。并发AF组年龄大 ,血尿酸水平高 ,梗死范围大 ,入院时心功能差 ,CPK -MB峰值高 ,左房内径大。心力衰竭 ,心源性休克 ,严重室性心律失常的发生率和病死率均高于无AF组 (P <0 .0 5或P <0 .0 1)。结论 :AMI并发AF与患者的临床特征和近期预后有关。
Objective: To study the clinical and short-term prognosis significance in AMI patients complicated atrial fibrillation (AF). Methods: 223 AMI cases were cared for 5 to 7 days in ICU to compare the clinical characters, the in-hospital severe complications and mortality in AMI with AF group and non—AF group. Results: In 223 cases, 25 cases complicated AF. In AF group, the creatine kinase (CK-MB),uric acid ,the infarction area, rate of congestive heart failure, complex ventricular arrhythmias, cardiac shock and mortality are higher than that in non AF group(P<0.05 or P<0.01). Conclusion: AMI complicated AF was related with the clinical characters and prognosis.
出处
《河北医学》
CAS
2003年第7期587-590,共4页
Hebei Medicine
关键词
急性心肌梗死
心房颤动
临床特征
预后
并发症
Acute myocardial infarction
Atrial fibrillation
Clinical characters
