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代谢综合征对经皮冠状动脉介入治疗的急性心肌梗死患者预后的影响

高远 郭亮 李学渊 张海山 关启刚 李雯娜 齐国先 孙英贤

广东医学Issue(14):2158-2160,3.
广东医学Issue(14):2158-2160,3.

代谢综合征对经皮冠状动脉介入治疗的急性心肌梗死患者预后的影响

Effect of metabolic syndrome on the prognosis of patients with acute myocardial infarction after percutaneous cor-onary intervention

高远 1郭亮 1李学渊 1张海山 1关启刚 1李雯娜 1齐国先 1孙英贤1

作者信息

  • 1. 中国医科大学附属第一医院心血管内科 沈阳110001
  • 折叠

摘要

Abstract

Objective To evaluate the effect of metabolic syndrome ( MetS) on the incidence of in-hospital and long-term major adverse cardiac events (MACE) of acute myocardial infarction (AMI) patients treated with percutane-ous coronary intervention (PCI) .Methods This was a retrospective study.From May of 2011 to September of 2013, we consecutive enrolled 157 AMI patients with MetS in the First Affiliated Hospital of China Medical University into Group A, and 216 AMI patients without MetS into the control group ( Group B) .Incidence of both in-hospital and 12 months postoperative MACE were calculated.Results Compared with Group B, the incidence of MACE in Group A was higher both during hospitalization (7.01%vs 2.31%, P=0.027) and in the 12 months postopertive period (21.7% vs 12%, P=0.013).Cox proportional hazard regression analysis showed that MetS was a predictive factor of 12-month MACE (HR=2.65, 95%CI, 1.102~3.065, P=0.002).Conclusion The incidence of MACE for AMI patients with MetS after PCI during hospitalization and 12 months postoperatively were higher.MetS was a risk factor for poor prognosis.

关键词

代谢综合征/血管成形术/急性心肌梗死

Key words

metabolic syndrome/angioplasty/acute myocardial infarction

引用本文复制引用

高远,郭亮,李学渊,张海山,关启刚,李雯娜,齐国先,孙英贤..代谢综合征对经皮冠状动脉介入治疗的急性心肌梗死患者预后的影响[J].广东医学,2015,(14):2158-2160,3.

基金项目

沈阳市科技计划项目 ()

广东医学

OA北大核心CSTPCD

1001-9448

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