急性下壁心肌梗死患者的临床特点  

Clinical Characteristics of the Patients with Acute Inferior Myocardial Infarction

作　　者：黄春林[1] 潘宜智[2] 

机构地区：[1]信丰县人民医院心内科,江西信丰341600 [2]广州市第一人民医院,广东广州510000

出　　处：《赣南医学院学报》2015年第2期276-278,280,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:分析急性下壁心肌梗死各罪犯血管组的临床特点,认识下壁心梗中不同罪犯血管的临床风险。方法:收集2007年5月至2013年9月间193例急性ST段抬高型下壁心肌梗死患者的临床资料。根据冠脉造影,分为右冠状动脉闭塞组(A组)和回旋支闭塞组(B组),右冠状动脉闭塞组中又分为右冠近中段闭塞组(A1组)和右冠远段闭塞组(A2组),比较各组患者之间在住院期间发生心血管事件的差异。结果:右冠状动脉组(A组)中植入临时起搏器、植入IABP的发生率、住院期间发生的恶性室性心律失常高于回旋支闭塞组(B组)。右冠近中段闭塞组(A1组)在再灌注心律失常、植入临时起搏器、植入IABP、住院期间发生的恶性室性心律失常的事件上发生率高于右冠远段闭塞组(A2组)。结论:在急性下壁心肌梗死中,右冠近中段闭塞导致的临床风险高。Objective： To recognize the clinical risks of different culprit vessels through analyzing the clinical features of each culprit vessel groups in acute inferior wall myocardial infarction. Methods： The clinical data on a total of 193 ST segment elevation AIMI patients admitted into the hospital from May 2007 to September 2013 was collected. Participants were divided into 2 groups： RCA occlusion（ group A） and LCX occlusion（ group B）. And group A was further divided into proximal-middle RCA occlusion（ group A1） and distal RCA occlusion（ group A2）. The differences in cardiovascular event among the patient groups were compared during their hospitalization. Results： The incidences of implanting temporary pacemaker and IABP,and malignant ventricular arrhythmia occurred during hospitalization in RCA occlusion（ group A） were higher than those of LCX occlusion（ group B）. The incidences of reperfusion arrhythmia,and implanting temporary pacemaker and IABP,ventricular arrhythmias event during hospitalization in proximal-middle RCA occlusion（ group A1） were higher than those of distal RCA occlusion（ group A2）. Conclusion： In acute inferior wall myocardial infarction,proximal-middle RCA occlusion guides high clinical risk.

关 键 词：急性下壁心肌梗死 罪犯血管 心血管事件 

分 类 号：R542.22[医药卫生—心血管疾病]