重庆医学2018，Vol.47Issue(4)：463-466,4.DOI:10.3969/j.issn.1671-8348.2018.04.009
Tei指数和血浆脑钠肽对前壁心肌梗死长期预后的预测价值
Predictive value of Tei index and plasma brain natriuretic peptide on long-term prognosis in patients with anterior myocardial infarction
摘要
Abstract
Objective To explore the predictive value of Tei index and plasma brain natriuretic peptide(BNP) on major adverse cardiovascular events(MACE) during long term follow up in the patients with anteriormyocardial infarction(MI).Methods A total of 238 patients with anterior MI were selected and divided into four groups according to the median of Tei index and BNP:G1 group(Tei≤0.66,BNP≤532.60 ng/mL,n=70),G2 group(Tei≤0.66,BNP＞532.60 ng/mL,n=51),G3 group(Tei＞0.66,BNP≤532.60 ng/mL,n=50) and G4 group(Tei＞0.66,BNP＞532.60 ng/mL,n=67).The follow up end was the MACE occurrence.Results There was a significant positive correlation between the Tei index and BNP(r=0.582,P=0.000).Tei entered the BNP regression equation(β=0.658,P＜0.05).The MACE-free survival rate had no statistical difference among 4 groups(x2 =9.975,P=0.019).The Cox regression analysis showed that Tei index and BNP were the independent predictive factors for MACE.Tei combined with BNP had stronger predictive value to MACE(AUC=0.781,95CI:0.721-0.841,P=0.000),its sensitivity was 72.52％ and specificity was 76.89％.Conclusion Tei combined with BNP has stronger predictive value for anterior MI during long term follow up.关键词
心力衰竭/射血分数/脑钠肽/Tei指数Key words
heart failure/ejection fraction/brain natriuretic peptide/Tei index分类
医药卫生引用本文复制引用
常学伟,张守彦,马惠芳,田利平,魏毅东,魏经汉..Tei指数和血浆脑钠肽对前壁心肌梗死长期预后的预测价值[J].重庆医学,2018,47(4):463-466,4.基金项目
洛阳市科技攻关项目(1721001A-4). （1721001A-4）
