中国动脉硬化杂志2009，Vol.17Issue(3)：225-228,4.
急性右心室心肌梗死的临床特点及预后分析
The Clinical Features and Prognosis of Acute Myocardial Infarction and Right Ventricular Involvement
聂如琼 1王景峰 1袁沃亮 1谢双伦 1李松鹤 1程凌1
作者信息
- 1. 中山大学附属第二医院心内科,广东省广州市,510120
- 折叠
摘要
Abstract
Aim To study some specific high risk subgroups of patients with acute inferior myocardial infarction, such as right ventricular involvement and explore the clinical implication and prognosis influence of right ventricular infarc-tion and the effect of reperfusion therapy. Methods 304 patients of acute inferior myocardial infarction were treated with reperfusion therapy or conservative therapy according to guideline and patients selection. There were 232 patients of inferior myocardial infarction without right ventricular involvement and 72 patients with right ventricular involvement. Da-tas were recorded including clinical features and complications. Results The incidence of complications significantly increased in patients with right ventricular infarction, which included cardiogenic shock, mechanical complications, com-plete atrioventricular block, ventricular fibrillation, sustained ventricular tachycardia and reinfarction. The in-hospital mortality was 8.6% in patients without right ventricular involvement and 34.7% in patients with right ventricular involve-ment. In patients with right ventricular involvement, the in-hospital mortality was 27.8% in repeffusion therapy group and 55.6% with conservative therapy group. Conclusions Right ventricular involvement is a high risk subgroup of a-cute inferior myocardial infarction, which increases in-hospital morbidity and mortality. Reperfusion therapy can improve the in-hospital outcomes of right ventricular infarction.关键词
心肌梗死/再灌注/病死率Key words
Acute Myocardial Infarction /Reperfusion /Morbidity分类
医药卫生引用本文复制引用
聂如琼,王景峰,袁沃亮,谢双伦,李松鹤,程凌..急性右心室心肌梗死的临床特点及预后分析[J].中国动脉硬化杂志,2009,17(3):225-228,4.
