川北医学院学报2016，Vol.31Issue(1)：51-54,4.DOI:10.3969/j.issn.1005-3697.2016.01.14
老年非 ST 段抬高型急性冠脉综合征患者 aVR 导联 ST段抬高与住院主要不良心脏事件的关系
Relationship between aVR ST segment elevation and MACE in elderly pa-tients with non ST segment elevation acute coronary syndrome
刘湘华 1梁力晖 1唐铭翔2
作者信息
- 1. 湖南省人民医院 1.老年病科
- 2. 心内科，湖南 长沙 410005
- 折叠
摘要
Abstract
Objective:To investigate the relationship between aVR ST segment elevation and MACE in elderly patients with non ST segment elevation acute coronary syndrome.Methods:To analyze the characteristics of aVR lead electrocardiogram and MACE risk factors of acute coronary syndrome patients with NSTE-ACS,180 cases from January 2012 to January 2015.Results:aVR ST segment elevation more often occurs in senior people with previous history of angina,hyperlipemia,hypertension and left ventricular hypertro-phy,with statistical significance (P <0.05 by testing two groups,P <0.01 ).In aVR ST segment elevation group,patients with aVR ST segment elevation ≥ 0.05 mV and cardiac function Killip≥2,as aging,their hospital mortality risk increased.The OR value of the hospital mortality risk was 4.32 and 95% confidence interval was 1.452 to 1 1.217.Comparing with non-elevation group,the death toll has statistical difference(P =0.000).The OR value of the hospital mortality risk of ACE patients with cardiac function Killip≥ 2 was 6.128 and 95% confidence interval was 3.612 to 9.521 ,P =0.000.The incidence of heart failure and recurrent infarction was larger in the aVR lead ST segment elevation (P <0.05).Conclusion:aVR lead ST segment elevation,as independent predictors of ACS in the senior people,suggests patients have a wide range of left main coronary artery lesions and three branch lesions,and poor prognosis.The recurrence of myocardial infarction and heart failure of aVR ST segment elevation patients in hospital were higher than that of non aVR lead ST segment elevation.关键词
急性冠脉综合征/ST段抬高/预后Key words
Aacute coronary syndrome/ST-segment elevation/Prognosis分类
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刘湘华,梁力晖,唐铭翔..老年非 ST 段抬高型急性冠脉综合征患者 aVR 导联 ST段抬高与住院主要不良心脏事件的关系[J].川北医学院学报,2016,31(1):51-54,4.
