再发急性心肌梗死患者的临床特征  

Clinical characters of recurrent acute myocardial infarction

作　　者：张立新 曾慧 姚立云 李乃达 

机构地区：[1]北京通州潞河医院心内科,北京101149

出　　处：《临床心血管病杂志》2000年第4期165-166,共2页Journal of Clinical Cardiology

摘　　要：目的 :探讨再发急性心肌梗死 (AMI)患者的临床特征。方法 :将再发 AMI患者 36例与同期患有AMI,出院后无再梗死的 6 9例患者对比 ,分析其临床特征。结果 :与 AMI者比较 ,发生再梗死时 ,症状多不典型(2 7.8% ,6 9.4% ,P <0 .0 1) ;多支病变者显著高于无再梗死者 (72 .2 % ,47.8% ,P <0 .0 1) ;冠状动脉病变积分亦显著高于无再梗死者 (12 .75± 5 .6 1,8.96± 3.48,P <0 .0 1) ;再梗死者的血总胆固醇水平显著高于无再梗死者(5 .6 9± 1.34 ,3.95± 1.73,P <0 .0 5 ) ;血糖水平亦高于后者 (9.2 1± 1.39,7.0 3± 1.97,P <0 .0 5 )。结论 :再梗死患者多具有严重的冠状动脉多支病变 ,再梗死时临床症状多不典型 。Objective:To study the clinical characters of recurrent acute myocardial infarction(AMI).Method:105 patients with AMI were divided into two groups according to recurrent infarction after discharged from our hospital.36 cases with recurrent infarction (group 1)were studied and compared to 69 cases without reinfarction (group 2).Result:Compared with group 2,group 1 had a higher incidence of multivessel lesion ( 72.2 % vs 47.8 %,P< 0.01 ),a higher coronary severity score ( 12.75 ± 5.61 vs 8.96 ± 3.48 ,P< 0.01 ) and atypical signs in most of them ( 27.8 % vs 69.6 %,P< 0.01 )。Group 1 also had a higher level of blood total cholesterol ( 5.69 ± 1.34 vs 3.95 ± 1.73 ,P< 0.05 )and a higher level of blood sugar ( 9.21 ± 1.39 vs 7.03 ± 1.97 ,P< 0.05 ).Conclusion:Patients with recurrent infarction usually have multivessel and severe coronary artery lesions and atypical clinical signs in most of them.The high levels of blood total cholesterol and blood sugar are main risk factors of them.

关 键 词：复发性 危险因素 急性 心肌梗塞 

分 类 号：R542.220.2[医药卫生—心血管疾病]