陕西医学杂志2025，Vol.54Issue(10)：1349-1354,6.DOI:10.3969/j.issn.1000-7377.2025.10.009
接受经皮冠脉介入治疗的急性心肌梗死患者室速/室颤发生率及其影响因素
Incidence of ventricular tachycardia/ventricular fibrillation in patients with acute myocardial infarction receiving percutaneous coronary intervention and its influencing factors
摘要
Abstract
Objective:To analyze the incidence and influencing factors of ventricular tachycardia(VT)/ventricu-lar fibrillation(VF)in patients with acute myocardial infarction(AMI)undergoing percutaneous coronary interven-tion(PCI).Methods:1253 patients with AMI who underwent PCI were included in the study.The incidence of VT/VF was analyzed,and the difference of clinical features between VT/VF group and non-VT/VF group was com-pared.Univariate and multivariate logistic regression analysis was used to explore the influencing factors of VT/VF.Results:The incidence of VT/VF was 10.06％.Compared with non-VT/VF group,VT/VF group had higher heart rate,higher white blood cell count,lower systolic blood pressure,higher urea,lower albumin,higher alanine amin-otransferase,lower blood potassium,lower blood calcium,higher fasting blood glucose,higher creatine kinase isoenzyme,higher creatine kinase,higher NT-proBNP and lower left ventricular ejection fraction(LVEF),and the differences were statistically significant(P＜0.05).Multivariate logistic regression analysis showed that heart rate,blood potassium and LVEF were risk factors for VT/VF.After adjusting for age,sex,smoking,history of diabetes and history of hypertension,heart rate(OR=0.987,95％CI:0.974-0.999)and blood potassium(OR=1.79,95％CI:1.147-2.792),LVEF(OR=1.045,95％CI:1.016-1.074)were still risk factors.Conclusion:The risk factors for VT/VF inpatients with AMI during PCI are heart rate,blood potassium,and LVEF,and it is recommended to monitor patients' vital signs,correct electrolyte disturbance and improve cardiac function to reduce this kind of arrhythmia.关键词
急性心梗/经皮冠脉介入治疗/室性心动过速/心室颤动/发生率/影响因素Key words
Acute myocardial infarction/Percutaneous coronary intervention/Ventricular tachycardia/Ventric-ular fibrillation/Incidence rate/Influencing factors分类
医药卫生引用本文复制引用
童睿,钱华,李博涵,任阳荷,任姝凡,梁彤,余航..接受经皮冠脉介入治疗的急性心肌梗死患者室速/室颤发生率及其影响因素[J].陕西医学杂志,2025,54(10):1349-1354,6.基金项目
陕西省自然科学基金资助基础研究计划项目(2021JQ-402) （2021JQ-402）
