摘要
Abstract
Objective To investigate the risk factors for intramyocardial hemorrhage(IMH)in patients with acute ST-segment elevation myocardial infarction(STEMI)after percutaneous coronary intervention(PCI),and provide a reference for clinical practice.Methods A retrospective analysis was conducted on the clinical data of 138 STEMI patients who underwent PCI at Xuchang People's Hospital from January 2022 to February 2023.The patients were divided into an IMH group(36 cases)and a non-IMH group(102 cases)based on the occurrence of IMH post-operation.Clinical data were compared between the two groups to analyze factors influencing the occurrence of IMH after PCI in STEMI patients.Results In the IMH group,the proportions of patients aged≥65 years,with hypertension,BMI＞24 kg/m²,N-terminal pro-B-type natriuretic peptide(NT-proBNP)≥2,000 ng/mL,creatine kinase-MB(CK-MB)≥150 ng/mL,creatine kinase(CK)≥3,000 ng/mL,and cardiac troponin I(cTnI)＞2.26 ng/mL were higher than those in the non-IMH group,with statistically significant differences(P＜0.05).Multivariate logistic regression analysis showed that age≥65 years,hypertension,BMI＞24 kg/m²,NT-proBNP≥2,000 ng/mL,CK-MB≥150 ng/mL,CK≥3,000 ng/mL,and cTnI＞2.26 ng/mL were significant influencing factors for the occurrence of IMH after PCI in STEMI patients,with statistically significant differences(P＜0.05).Conclusion Being aged≥65 years,having hypertension,a BMI＞24 kg/m²,NT-proBNP≥2,000 ng/mL,CK-MB≥150 ng/mL,CK≥3,000 ng/mL,and cTnI＞2.26 ng/mL are influencing factors for the occurrence of IMH in STEMI patients post-PCI.Clinically,targeted intervention strategies can be developed based on these factors to prevent the occurrence of IMH.关键词
急性ST段抬高型心肌梗死/经皮冠状动脉介入治疗/心肌内出血/危险因素Key words
Acute ST-Segment Elevation Myocardial Infarction/Percutaneous Coronary Intervention/Intramyocardial Hemorrhage/Risk Factors分类
医药卫生
