中国临床医学Issue(4)：486-490,5.
急性 ST 段抬高型心肌梗死患者发生高危室性心律失常的相关危险因素分析
Analysis of Risk Factors for High Risk Ventricular Arrhythmia in Patients with Acute ST Segment Elevated ;Myocardial Infarction
摘要
Abstract
Objective:To explore the risk factors for high risk ventricular arrhythmia by analyzing the admission indexes of pa-tients with acute ST-segment elevated myocardial infarction(ASTEMI).Methods:The 190 patients undergoing emergency per-cutaneous coronary intervention were divided into event group(n=89)and non-event group(n=101)according to the occurrence of high risk ventricular arrhythmia.The indicators brought into analysis included gender,age,hypertension,diabetes,dura-tion of ischemic chest pain,infarction area involved ventricular wall,involvement of blood vessels,number of involved vessels (including 1 ,2,3 branch lesion),left ventricular ejection fraction(LVEF)recorded by echocardiography,blood glucose level on admission,glycosylated hemoglobin(HbA1 C),glycated albumin(GLA),blood electrolytes(sodium,potassium,chloride),se-rum creatinine (SCr),troponin(cTnT),creatine kinase isoenzyme(CK-MB),C-reactive protein(CRP),and anemia.χ2 test were carried out with software SPSS 19.0.Results:Factors including hypertension,diabetes,gender,age,HbA1 C,and num-bers of involved vessels were not related to occurrence of high risk ventricular arrhythmia,while blood potassium,GLA,CRP, cTnT,LVEF,involved wall and anemia were correlated to occurrence of high risk ventricular arrhythmia events.Conclusions:Serum potassium concentration less than 3.5 mmol/L,blood sugar more than 8 mmol/L,proportion of GLA more than 16%, CRP more than 10 mg/L,cTnT more than 5 ng/mL,LVEF less than 55%,and involvement of anterior wall are the risk fac-tors for high risk ventricular arrhythmia in ASTEMI patients at the early stage of admission.关键词
冠状动脉粥样硬化性心脏病/急性 ST 段抬高型心肌梗死/高危室性心律失常Key words
Coronary atherosclerotic heart disease/Acute ST segment elevated myocardial infarction/High risk ventric-ular arrhythmia分类
医药卫生引用本文复制引用
禹子清,彭娟,樊冰..急性 ST 段抬高型心肌梗死患者发生高危室性心律失常的相关危险因素分析[J].中国临床医学,2015,(4):486-490,5.基金项目
上海市科学技术委员会医学重点课题(编号:12411952202) （编号:12411952202）
