急性心肌梗死并发室壁瘤易患因素分析  

作　　者：刘波[1] 惠杰[1] 

机构地区：[1]江苏苏州大学附属第一医院心血管内科,215000

出　　处：《浙江临床医学》2010年第11期1188-1190,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨急性心肌梗死发生后并发室壁瘤的易患因素.方法 对本院1998年1月至2009年12月401例经皮冠状动脉介入（percutaneous coronary intervention, PCI）患者中37例室壁瘤患者从性别、年龄、胸痛时间、心电图中胸导联抬高或形成Q波的数量、心脏冠脉造影结果等方面进行回顾性分析.入选病例为本院心脏彩色多普勒确诊为室壁瘤患者37例.结果 其中男性34例（90.8%）,胸痛时间〉24h者31例（81.1%）,冠脉造影示左前降支受累及者28例（75.7%）,年龄〉60岁者30例（90.8%）,心电图示≥4个胸导联ST段抬高或出现Q波35例（94.6%）.结论 室壁瘤多发于男性,年龄多〉60岁,其中多数患者心电图可见≥4个胸导联ST段抬高或出现Q波,心肌梗死后胸痛时间多〉24h,冠状动脉造影中左前降支受累及者多见.Objective To explore the risk factors of the ventricular aneurysm complicated by acute myocardial （AMI） infarction. Methods 37 patients with ventricular aneurysm out of 401 patients who underwent percutaneous coronary intervention （PCI） were retrospectively reviewed on the gender, age, time of chest pain, the number of elevation of chest lead or Q wave formation, the result of coronal artery angiography. The cases selected were confirmed by cordial color Doppler. Results Of them there were 34 men （90. 8% ） ,31 cases had a duration of chest pain 〉 24h （81.1% ）, the anterior descending branch was involved in 28 cases （75.7%） ,30 cases were older than 60（90. 8% ） ,ST segment elevated or Q waves appeared in more than 4 chest leads in 35 case（94. 6% ）. Conclusions Ventricular aneurysm happens mainly in male, older than 60 years old. In most of the patients, the anterior descending branch is involved, the duration of chest pain is more than 24h , the ST segment elevates or Q waves appears in more than 4 chest leads.

关 键 词：室壁瘤 急性心肌梗死 易患因素 

分 类 号：R542.22[医药卫生—心血管疾病]