急性心肌梗死冠脉多支病变的危险因素及风险预测模型研究进展  

Research progress on risk factors and risk prediction models for multi-vessel lesions with coronary artery in acute myocardialinfarction

作　　者：赵欣然 徐以康 吴桂平[1] 刘蕾 马晶茹[1] 马小慧 孙金菊 ZHAO Xinran;XU Yikang;WU Guiping;LIU Lei;MA Jingru;MA Xiaohui;SUN Jinju(Department of Cardiology,the Second Affiliated Hospital of Shenyang Medical College,Shenyang,Liaoning 110001,China;Nursing College,Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110847,China;School of Public Health,Shenyang Medical College,Shenyang,Liaoning 110034,China)

机构地区：[1]沈阳医学院附属第二医院心内科,辽宁沈阳110001 [2]辽宁中医药大学护理学院,辽宁沈阳110847 [3]沈阳医学院公共卫生学院,辽宁沈阳110034

出　　处：《医药前沿》2025年第5期22-25,共4页Journal of Frontiers of Medicine

基　　金：辽宁省自然科学基金科技援疆、援藏医疗专项(2023-MS-19);2022年度教育厅基本科研项目(LJKMZ20221798);2022年度沈阳市科学技术计划(22-321-33-100)。

摘　　要：急性心肌梗死(AMI)为致死率最高的心血管疾病之一,其中冠脉多支病变患者常出现更为严重的弥漫性心肌损伤。AMI冠脉多支病变患者,经皮冠脉介入治疗术操作难度增加,梗死血管开通时间延长,手术耐受度差,心肌梗死面积大,发生主要不良心血管事件风险高,远期预后差。早期识别和干预AMI冠脉多支病变患者的危险因素,可明显减少主要不良心血管事件发生;构建AMI冠脉多支病变患者的风险预测模型可有效改善远期不良预后,同时对于心血管疾病的健康宣教和预防也具有积极意义。本文对AMI冠脉多支病变的危险因素及心血管疾病风险预测模型研究现状进行综述。Acute myocardial infarction(AMI)is one of the cardiovascular diseases with the highest mortality rate,and patients with multi-vessel lesions with coronary artery often have more severe diffuse myocardial injury.In patients with multi-vessel lesions with coronary artery in AMI,percutaneous coronary intervention is more difficult to operate,the opening time of infarcted vessels is prolonged,the surgical tolerance is poor,the area of myocardial infarction is large,the risk of major adverse cardiovascular events is high,and the long-term prognosis is poor.Early identification and intervention of risk factors for AMI patients with multi-vessel lesions with coronary artery can significantly reduce the occurrence of major adverse cardiovascular events;the construction of a risk prediction model for patients with multi-vessel lesions with coronary artery in AMI can effectively improve the long-term poor prognosis,and also has positive significance for the health education and prevention of cardiovascular disease.This article reviews the risk factors of multi-vessel lesions with coronary artery in AMI and the research status of cardiovascular disease risk prediction models.

关 键 词：心肌梗死 急性心肌梗死 冠状动脉 多支病变 风险预测 危险因素 

分 类 号：R542[医药卫生—心血管疾病]