扩张型心肌病患者发生室性心律失常的影响因素  

Influencing factors of ventricular arrhythmia in patients with dilated cardiomyopathy

作　　者：刘娜 LIU Na(Xiayi County Second People’s Hospital,Shangqiu 476400 Henan,China)

机构地区：[1]夏邑县第二人民医院内科,河南商丘476400

出　　处：《中国民康医学》2023年第8期4-6,10,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析扩张型心肌病患者发生室性心律失常的影响因素。方法:回顾性分析2018年9月至2021年12月该院收治的282例扩张型心肌病患者的临床资料,根据是否发生室性心律失常分为发生组(n=40)和未发生组(n=242),比较两组基线资料,分析扩张型心肌病患者发生室性心律失常的影响因素。结果:发生组抗心肌抗体阳性、血清超敏C反应蛋白(hs-CRP)≥3 mg/L、合并心室重构占比均高于未发生组,差异有统计学意义(P<0.05);两组性别、年龄、美国纽约心脏病协会心功能分级、体质量指数、饮酒史占比比较,差异均无统计学意义(P>0.05);Logistic回归分析结果显示,抗心肌抗体阳性、血清hs-CRP≥3 mg/L、合并心室重构均为影响扩张型心肌病患者发生室性心律失常的危险因素(OR>1,P<0.05)。结论:抗心肌抗体阳性、血清hs-CRP≥3 mg/L、合并心室重构均为影响扩张型心肌病患者发生室性心律失常的危险因素。Objective:To analyze influencing factors of ventricular arrhythmia in patients with dilated cardiomyopathy.Methods:The clinical data of 282 patients with dilated cardiomyopathy admitted to the hospital from September 2018 to December 2021 were retrospectively analyzed.They were divided into occurrence group(n=40)and non-occurrence group(n=242)according to whether ventricular arrhythmia occurred.The baseline data were compared between the two groups.The influencing factors of ventricular arrhythmia in these patients with dilated cardiomyopathy were analyzed.Results:The proportions of positive anti-myocardial antibody,serum hs-CRP≥3 mg/L and ventricular remodeling in the occurrence group were higher than those in the non-occurrence group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in gender,age,NYHA classification,body mass index,and proportion of alcohol consumption between the two groups(P>0.05).The Logistic regression analysis showed that positive anti myocardial antibodies,serum hs-CRP≥3 mg/L,and combined ventricular remodeling were all risk factors for ventricular arrhythmias in the patients with dilated cardiomyopathy(OR>1,P<0.05).Conclusions:Positive anti myocardial antibodies,serum hs-CRP≥3 mg/L,and combined ventricular remodeling are the risk factors for ventricular arrhythmias in the patients with dilated cardiomyopathy.

关 键 词：扩张型心肌病 室性心律失常 影响因素 抗心肌抗体 超敏C反应蛋白 心室重构 

分 类 号：R542.2[医药卫生—心血管疾病]