老年冠心病患者再发心肌梗塞和猝死的危险因素分析  

Analysis or Clinical Risk Factors or Recurrent Myocardial Infarction and Sudden Cardiac Death in Elderly Patients with Coronary Heart Disease

作　　者：李玛丽[1] 李颖[1] 张一娜[1] 林维滨 马兰[1] 陈延军[1] 

机构地区：[1]哈尔滨医科大学附属二院老年病研究室,哈尔滨医科大学附属二院干部病房

出　　处：《伤残医学杂志》1996年第2期40-41,共2页Medical Journal of Trauma and Disability

摘　　要：随访连续住院的３０６例老年冠心病患者１年～６年，观察增龄、性别、饮酒、饮茶、吸烟、肥胖、高血压、糖尿病、无痛性心肌缺血、左室肥厚、复杂室性心律失常、血脂增高、遗传史等因素对再发急性心肌梗塞或心源性猝死的影响．经Ｃｏｘ多因素分析提示合并高血压、血清总胆固醇与高密度脂蛋白胆固醇比值≥４．３、无痛性心肌缺血和复杂室性心律失常是促使再发的重要因素。We follwed-up 306 elderly patients with coronary heart disease for 1-6 year and observed about the association and rist forctors with recurent myocardial infarction and sudden cardiac death. The clinical rist factors were age, sex, drink, tea, smoking, obesety, hypertension,diabetes mellitus,silent myocardial ischemia,left ventricular hypertrophy,complex ventricular arrhythmia,increase of the lipid,hereditory history at al. Cox proportional hazard regression analysts revealed that significant recurent forctors were coronary heart accompanied hypertension,the ration of total cholesterol to high-densitylipoprotein cholesterol>4. 3,silent myocardial ischemia and complex ventriculal arrhythmial

关 键 词：冠心病 心肌梗塞 猝死 老年人 

分 类 号：R541.4[医药卫生—心血管疾病] R542.2[医药卫生—内科学]