老年急性心肌梗死后发生严重心律失常的临床影响因素分析  

Analysis of Clinical Factors Influencing the Occurrence of Severe Arrhythmia after Acute Myocardial Infarction in the Elderly

作　　者：郭丽云 GUO Liyun(Hulunbeier City People's Hospital,Hulunbeier,Inner Mongolia 021000)

机构地区：[1]呼伦贝尔市人民医院,内蒙古呼伦贝尔021000

出　　处：《智慧健康》2025年第5期94-96,共3页Smart Healthcare

摘　　要：目的 探究临床老年急性心肌梗死(AMI)后发生严重心律失常(SA)的影响因素。方法 选取本院2023年1月—2024年11月确诊的60例老年AMI患者为研究对象,按有无发生SA分为SA组(30例)和非SA组(30例)。回顾分析两组基本信息及临床病理资料,采取单因素方式及Logistic方式分析影响AMI后发生SA的因素。结果 老年AMI后发生SA的高危因素涉及cTnⅠ水平>40.45 ng/mL、SDNN水平<111.09 ms、LVEF水平<40%、低钾血症、心电图Q波、广泛前壁部位梗死、病变血管多支等(P<0.05)。结论 临床老年AMI后发生SA的独立危险因素主要为cTnⅠ水平>40.45 ng/mL、SDNN水平<111.09 ms、LVEF水平<40%、低钾血症、心电图Q波、广泛前壁部位梗死、病变血管多支等,因此在救治期间需注意警惕SA,并做好相应的预防准备工作及应对方案,以减少病死率。Objective To investigate the influencing factors of severe arrhythmia (SA) after acute myocardial infarction (AMI) in the elderly.Methods In this paper,60 cases of elderly patients diagnosed with AMI were selected from 2023.01 to 2024.11 and divided into SA group (30 cases) and non-SA group (30 cases) according to the occurrence of SA.The basic information and clinicopathological data of the two groups were retrospectively analyzed,and the factors affecting the occurrence of SA after AMI were analyzed in a univariate and logistic manner.Results The high-risk factors for the occurrence of SA after AMI in the elderly involved cTnⅠ level >40.45 ng/mL,SDNN level <111.09 ms,LVEF level <40%,hypokalemia,electrocardiogram Q wave,extensive anterior wall site infarction,and multiple branches of diseased blood vessels (P<0.05).Conclusion The independent risk factors for SA after clinical AMI in the elderly are cTnⅠ level >40.45 ng/mL,SDNN level <111.09 ms,LVEF level <40%,hypokalemia,electrocardiogram Q-wave,extensive anterior wall infarction,and multiple branches of diseased blood vessels,etc.Therefore,it is necessary to pay attention to the vigilance of SA during the rescue period,and to do the appropriate preventive preparations and response programs Therefore,it is necessary to pay attention to the vigilance of SA during the treatment,and make corresponding preventive preparations and response programs to reduce the morbidity and mortality.

关 键 词：老年 急性心肌梗死 严重心律失常 影响因素 

分 类 号：R541.7[医药卫生—心血管疾病]