实用临床医药杂志2024，Vol.28Issue(22)：99-104,6.DOI:10.7619/jcmp.20242129
D-二聚体及全球急性冠状动脉事件注册评分与急性心肌梗死患者远期心力衰竭的相关性研究
Correlations of D-dimer and the Global Registry of Acute Coronary Events score with long-term heart failure in patients with acute myocardial infarction
沈佳睿 1张佳佳 2陈森阳 1钱焱 1陈芷倩 1叶鑫瑛 1赵培1
作者信息
- 1. 扬州大学附属医院心血管内科,江苏扬州,225000
- 2. 扬州大学附属医院心血管内科,江苏扬州,225000||河南省平顶山市第一人民医院心血管内科,河南平顶山,467000
- 折叠
摘要
Abstract
Objective To analyze the correlations of D-dimer and the Global Registry of Acute Coronary Events(GRACE)score with long-term heart failure(HF)in patients with acute myocardial infarction(AMI).Methods A total of 398 patients with AMI were selected as research objects and divided into normal D-dimer group(n=309)and elevated D-dimer group(n=89)based on the D-dimer level.Cox proportional hazard model was used to analyze the risk factors for long-term HF in both groups.Time-dependent receiver operating characteristic(ROC)curve was used to analyze the values of D-dimer,GRACE score and their combination in predicting long-term HF.According to the GRACE score and D-dimer level,398 patients were divided into low-value group(181 patients with normal D-dimerand low GRACE score),high-value group(70 patients with elevated D-dimer and high GRACE score),and middle-value group(147 patients did not meet the conditions of the low-value and high-value groups).Kaplan-Meier method was used to analyze the occurrence of long-term HF in the three groups.Point-biserial analysis was used to analyze the correlation between elevated D-dimer and the occurrence of long-term HF.Results The number of patients with long-term HF in the elevated D-dimer group was 2.3 times of the normal group.D-dimer and GRACE score were independent risk factors for long-term HF in patients with AMI(P＜0.05).Both D-dimer and GRACE score had certain predictive values for the occurrence of HF at 5 years after AMI,but the predictive efficiency of GRACE score was better.The incidence of long-term HF in the high-value group was significantly higher than that in the low-value group and the middle-value group(P＜0.01).D-dimer was signif-icantly positively correlated with the occurrence of long-term HF after AMI(P＜0.001).Conclu-sion Both D-dimer and GRACE score are independent risk factors for long-term HF in patients with AMI,and the two indexes have certain predictive value for the occurrence of long-term HF.Patients with both elevated indicators are high-risk groups for long-term HF.关键词
D-二聚体/全球急性冠状动脉事件注册评分/急性心肌梗死/心力衰竭/相关性Key words
D-dimer/the Global Registry of Acute Coronary Events score/acute myocardial infarction/heart failure/correlation分类
医药卫生引用本文复制引用
沈佳睿,张佳佳,陈森阳,钱焱,陈芷倩,叶鑫瑛,赵培..D-二聚体及全球急性冠状动脉事件注册评分与急性心肌梗死患者远期心力衰竭的相关性研究[J].实用临床医药杂志,2024,28(22):99-104,6.
