中国当代医药Issue(13)：54-56,59,4.
非ST段抬高型心肌梗死预后的影响因素研究
Influencing factor study on prognosis of non-ST-segment elevation my-ocardial infarction
曾勇1
作者信息
- 1. 广东省梅州市五华县人民医院内科，广东五华 514400
- 折叠
摘要
Abstract
Objective To explore relevant factor on prognosis of non-ST-segment elevation myocardial infarction (NSTEMI). Methods Clinical data of 82 patients with NSTEMI admitted to our hospital from January 2010 to January 2014 were retrospectively analyzed.Cardiovascular event during 6-month follow-up were collected,mainly including primary cardiovascular events and secondary and complex cardiovascular events.Influencing factor for prognosis were analyzed by univariate analysis and multivariate analysis. Results Incidence rate of cardiovascular event was 58.5%(48/82),in which incidence of primary cardiovascular event was 3.6%(3/82),and incidence of secondary cardiovascular events was 54.9%(45/82).Univariate analysis showed that history of coronary heart disease and diabetes were predicted to be relevant factors for cardiovascular events at the sixth month for patients with NSTEMI,with statistical difference (P<0.05).Cox regression analysis showed that relevant factors for primary cardiovascular events at sixth months for pa-tients with NSTEMI were cTnI≥0.8μg/L,leukocyte level and resting heart rate upon admission>100/min,with statistical difference(P<0.05).Multivariate Logistic regression analysis showed that relevant factors for secondary and complex car-diovascular events at sixth months for patients with NSTEMI were administration of antiarrhythmic drugs and resting heart rate upon admission>100/min,with statistical difference (P<0.05). Conclusion Relevant influencing factors for prognosis of patients with NSTEMI include history of coronary heart disease,diabetes,cTnI>0.8μg/L,increased leukocyte level and resting heart rate upon admission>100/min,and influencing factors for secondary and complex cardiovascular events include administration of antiarrhythmic drugs and resting heart rate upon admission>100/min.关键词
非ST段抬高型心肌梗死/预后/因素Key words
Non-ST-sement elevation myocardial infarction/Prognosis/Factor分类
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曾勇..非ST段抬高型心肌梗死预后的影响因素研究[J].中国当代医药,2015,(13):54-56,59,4.
