急性心肌梗死并心房纤颤临床分析  

作　　者：叶卓联[1] 

机构地区：[1]广东省梅州市人民医院,514031

出　　处：《中国社区医师（医学专业）》2011年第13期40-40,42,共2页

摘　　要：目的:观察急性心肌梗死(AMI)并心房纤颤临床特点,并探讨其危险因素及预后。方法:回顾性分析362例AMI住院期间资料,其中房颤组35例(早发12例,迟发23例),非房颤组327例,比较房颤组与非房颤组之间危险因素、梗死部位及临床情况,比较房颤早发组与迟发组的梗死部位差异。结果:房颤组高龄(>65岁)、高血压病、糖尿病多见(P<0.05),房颤组与非房颤组梗死部位相似(P>0.05),房颤早发组多见下壁AMI,迟发组多见前壁AMI(P<0.05),房颤组心力衰竭的发生率高,住院死亡率高,预后差(P<0.05)。结论:高龄、高血压、糖尿病是AMI并发房颤的危险因素,房颤发生时间与梗死部位有关,AMI并发房颤心力衰竭的发生率、死亡率高,预后差。Objective To observe the acute myocardial infarction （AMI） and clinical features of atrial fibrillation, and explore the risk factors and prognosis Methods Retrospective analysis of 362 cases of AMI in our hospital during hospitalization data, including 35 cases of atrial fibrillation （ 12 cases of early onset,late Fat 23 ） ,327 cases of non - AF group compared with the non - AF atrial fibrillation group risk factors between groups, infarct site and clinical conditions, earlyonset atrial fibrillation group compared with the delayed group differences in infarction. Results AF elderly（ 〉 65years）, hypertension, diabetes more common （ P 〈 0. 05 ）, atrial fibrillation group and non - AF group infarction similar （ P 〉 0.05 ）, more common group of early - onset atrial fibrillation in inferior wall AMI, late onset, more common in anterior wall AMI （ P 〈 0. 05 ）, the high incidence of atrial fibrillation group of heart failure, hospital mortality and poor prognosis （ P 〈 0. 05 ）. Conclusion old, hypertension,diabetes is a risk factor for AMI complicated by atrial fibrillation, atrial fibrillation related to time and infarction, AMI incidence of atrial fibrillation with heart failure, high mortality and poor prognosis.

关 键 词：急性心肌梗死 心房纤颤 临床特点 预后 

分 类 号：R542.22[医药卫生—心血管疾病]