急诊心源性胸痛患者临床特征分析  

Summary of Clinical Characteristics of Patients with Cardiogenic Chest Pain

作　　者：王新艳[1] 肖子亚 杜斌 李勇[1] Wang Xinyan;Xiao Ziya;Du Bin;Li Yong(Department of emergency,Affiliated Hospital of Jining Medical University,Jining 272029,China;不详)

机构地区：[1]山东省济宁医学院附属医院急诊科,济宁272029

出　　处：《中国循证心血管医学杂志》2023年第12期1318-1321,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：山东省医药卫生科技发展计划资助项目(202010000964)。

摘　　要：目的总结心源性胸痛患者临床特征,加深临床对此类疾病的认识。方法选取2021年1月至2021年12月经山东省济宁医学院附属医院急诊胸痛中心收治的心源性胸痛患者作为研究对象,对患者性别、年龄、来院方式、发病时间、既往史、合并症、临床表现、诊断及转归情况等进行归纳总结。结果共纳入心源性胸痛患者3107例,发病率男性多于女性,男女比为1.54:1,发病率最高的年龄段为65~74岁,84.84%的心源性胸痛患者自行来院就诊,发病时间好发于冬季,且凌晨、上午和晚上发病率最高。按照诊断进行分型包括:急性心肌梗死(AMI)1099例(35.37%),不稳定型心绞痛(UA)1573例(50.63%),非急性冠脉综合征(ACS)心源性胸痛435例(14.00%)。AMI患者多为持续性胸痛,UA和非ACS心源性胸痛患者多为间歇性胸痛,不同类型患者伴随症状、既往史/合并症各异,各型患者占比最高的既往史均为冠心病。心源性胸痛患者院内死亡率为1.71%(53/3107),死亡率最高为AMI患者,死亡原因均为心源性死亡。结论心源性胸痛患者有一定的发病规律,各型患者临床特征不同,AMI患者死亡率最高。Objective To summarize the clinical characteristics of patients with cardiogenic chest pain and deepen clinical understanding of these diseases.Methods Patients with cardiogenic chest pain treated in the Emergency chest pain Center of the Affiliated Hospital of Jining Medical University of Shandong Province from January 2021 to December 2021 were selected as the object of the study.The sex,age,mode of coming to the hospital,time of onset,past history,complications,clinical manifestations,diagnosis and outcome of the patients were summarized.Results A total of 3107 patients with cardiogenic chest pain were included.The incidence rate of men was more than that of women,with a male-to-female ratio of 1.54:1.The age group with the highest incidence rate is 65~74 years old.Up to 84.84%of the patients with cardiogenic chest pain came to the hospital on their own,the onset time was usually in winter,and the incidence was the highest in the early morning,morning and evening.According to the diagnosis,there were 1099 cases(35.37%)of acute myocardial infarction(AMI),1573 cases(50.63%)of unstable angina(UA),and 435 cases(14.00%)of cardiogenic chest pain in non-acute coronary syndrome(ACS).Most of the patients with AMI had persistent chest pain,while the patients with UA and non-ACS cardiogenic chest pain had intermittent chest pain.The concomitant symptoms and past history/complications of different types of patients were different,and the highest proportion of all patients was coronary heart disease.The in-hospital mortality rate of patients with cardiogenic chest pain was 1.71%.The highest mortality was in patients with AMI,and the cause of death was cardiac death.Conclusions Patients with cardiogenic chest pain have a certain incidence regularity,the clinical characteristics of different types of patients were different,and AMI patients had the highest mortality rate.

关 键 词：心源性胸痛 胸痛中心 临床特征 

分 类 号：R543.5[医药卫生—心血管疾病]