Myerburg分级对射血分数保留的心力衰竭的预后价值  

Prognostic value of Myerburg grading for heart failure with preserved ejection fraction

作　　者：黄惠蕾[1] 蒋祖勋[1] 黄志文[2] 

机构地区：[1]广东省人民医院,广东省医学科学院,广东省心血管病研究所心功能科,广州市510080 [2]广东医学院附属医院心血管内科,广东省湛江市524000

出　　处：《实用医学杂志》2013年第23期3871-3873,共3页The Journal of Practical Medicine

摘　　要：目的:通过Myerburg分级,探讨其对射血分数(EF)保留心力衰竭评价病情程度及预后的价值。方法:纳入2010年1月至2012年1月符合标准的EF保留心衰住院患者,进行心脏彩超、常规心电图、24 h动态心电图等检查。所有纳入病例随访15个月,记录3、6个月内的再住院率、心跳骤停接受心肺复苏、死亡等不良事件。根据24 h动态心电图或急诊常规心电图对患者进行Myerburg分级。结果:共纳入病例174例,其中男70例,女104例;年龄51～85岁,平均(71.2±6.8)岁。统计分析结果显示,年龄与心功能分级显著相关(P<0.05),但年龄与Myerburg分级无明显相关性,Myerburg的分级与NYHA的心功能分级均高度相关(P<0.05)。3个月再住院、6个月再住院、心跳骤停或死亡等不良事件与Myerburg分级有关(P<0.05)。结论:本研究证实Myerburg分级对EF保留心衰患者的预后有一定价值。Objective To explore the value of Myerburg classification on the prognosis of heart failure with preserved ejection fraction （HFpEF）. Methods In-patients with HFpEF were included and received echocardiography, ECG, and Hoher examination. All patients were followed-up for 15 months, and the events of rehospitalization, cardiac arrest and death in 3 and 6 months were recorded. Myerburg classification of patients was made according to the Hoher or emergency ECG results. Results 174 patients were enrolled, among whom therewere 70 males and 104 females, aged 51 85 （71.2 ＋ 6.8） years. Age was correlated with NYHA class （P 〈 0.05 ）, but was not related to Myerburg classification; Myerburg classification was significantly correlated with NYHA class （P 〈 0.05）. The events of rehospitalization in 3 and 6 months, cardiac arrest and death were significantly correlated with Myerburg classifications （P 〈 0.05）. Conclusions Myerburg classification was helpful for the prognosis of HFpEF.

关 键 词：心力衰竭 Myerburg分级 射血分数保留的心力衰竭 预后 

分 类 号：R541.6[医药卫生—心血管疾病]