心肌梗死前心绞痛发作对急性心肌梗死患者预后的影响  

Effect of Previous Myocardial Infarction Angina Pectoris in Patients with Acute Myocardial Infarction Prognosis

作　　者：邓先科[1] 张绍深[1] 

机构地区：[1]信宜市人民医院心内科,广东信宜535200

出　　处：《黑龙江医学》2015年第10期1138-1139,共2页Heilongjiang Medical Journal

摘　　要：目的探讨心肌梗死前心绞痛发作情况对急性心肌梗死患者预后的影响。方法将100例急性心肌梗死患者分为有心绞痛组与无心绞痛组,对比分析两组患者的心肌肌钙蛋白(c Tn I)和肌酸激酶同工酶(CK-MB)峰值、溶栓治疗结果和并发症情况等。结果有心绞痛组的CK-MB峰值和c Tn I峰值、再通时间、心力衰竭、心源性休克以及死亡人数等均显著低于无心绞痛组(P<0.05);有心绞痛组的再通人数和再通率明显高于无心绞痛组(P<0.05)。结论急性心肌梗死患者在心肌梗死前出现心绞痛症状可能是对缺血的适应从而对心肌有保护作用,能够较好的改善患者预后。Objective To discuss the effect of previous myocardial infarction angina pectoris in patients with acute myocardial infarction prognosis. Methods 100 patients with acute myocardial infarction prognosis were divided into angina group and without angina group.Troponin（ c Tn I） and creatine kinase（ CK- MB） peak,thrombolytic treatment outcome and complications and so on were compared between the two groups. Results The peak CK- MB and c Tn I peak,recanalization time,heart failure,cardiogenic shock and the death toll were significantly lower than those without angina group（ P〈0. 05）; recanalization number and rate of the angina group were significantly higher than those without angina group（ P〈0. 05）. Conclusion Acute myocardial infarction patients with angina before myocardial infarction may be adapted for ischemic myocardium and thus has a protective effect. It can better improve the prognosis.

关 键 词：心肌梗死 心绞痛 预后 

分 类 号：R542.2[医药卫生—心血管疾病]