急性心肌梗死血运重建术后远期预后的相关因素  

The relationship between case fatality and left ventricular function in the patients who received revascularization after acute myocardial infarction

作　　者：王培宁[1] 汪师贞[1] 杨新春[2] 杨舒玲[2] 汪爱虎[2] 陈明[2] 

机构地区：[1]新疆医科大学第一附属医院心血管病专科医院起搏电生理科,新疆乌鲁木齐830054 [2]首都医科大学附属北京朝阳医院心脏中心,北京100020

出　　处：《心脏杂志》2005年第4期373-375,共3页Chinese Heart Journal

摘　　要：目的:探讨急性心肌梗死(AMI)后接受血运重建术(PCI,CABG)的患者左室功能与病死率、心源性再住院率的关系,从而了解血运重建术是否能改善左室衰竭患者的预后.方法:分析我院1999-01～2003-02住院患者102例,根据左室射血分数(LVEF)值分成3组,LVEF≤40%(15例),40%＜LVEF＜50%(12例),LVEF≥50%(75例),分别随访1～4年的病死率和心源性再住院率.结果:LVEF≤40%组病死率,心源性再住院率显著高于其他两组(P＜0.05),另两组没有明显差异.结论:左室功能衰竭的AMI患者接受血运重建术时,LVEF≤40%者,其预后差.AIM： To investigate the relationship between case fatality and left ventricular function in the patients who received revascularization after acute myocardial infarction. METHODS： We analysed 102 patients from January 1999 to February 2003 in our hospitals, and divided them into three groups, they were LVEF≤40% （n =15）, 40% 〈LVEF 〈50% （n = 12） and LVEF≥50% （n =75） groups respectively. We collected such data as sex, blood pressure, cigarettes, age, multivessel diseases, diabetes mellitus and so on. RESULTS ： The case fatality of LVEF ≤40% group was significantly higer than those of the other two groups （ P 〈 0.05 ）. CONCLUSION ： The case fatality of the patients with LVEF ≤40% after acute myocardial infarction is higher than those of other groups, suggesting a bad prognosis.

关 键 词：心肌梗死 急性 血运重建术 左室功能 病死率 射血分数 左室 

分 类 号：R542.22[医药卫生—心血管疾病]