文章摘要
张小兰 张炜 王亚萍 白净 杨禹娟.老年ST段抬高型心肌梗死后发生恶性室性心律失常的危险因素分析[J].,2016,16(29):5681-5683
老年ST段抬高型心肌梗死后发生恶性室性心律失常的危险因素分析
Analysis of the Risk Factors of MVA after STEMI in Elderly Patients
  
DOI:
中文关键词: ST 段抬高型心肌梗死  恶性室性心律失常  危险因素  老年
英文关键词: ST segment elevation myocardial infarction(STEMI)  Malignant ventricular arrhythmia (MVA)  Risk factors  Elderly
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作者单位
张小兰 张炜 王亚萍 白净 杨禹娟 陕西省人民医院心血管内科 
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中文摘要:
      目的:探讨老年ST 段抬高型心肌梗死患者发生恶性室性心律失常的相关危险因素。方法:对150 例老年ST 段抬高型心肌 梗死患者的临床资料进行回顾性分析,根据有无恶性室性心律失常(MVA)将其分为对照组(非MVA)和观察组(MVA),对两组的 临床资料及指标进行比较,并进行Logistic 回归分析。结果:性别、年龄、吸烟史、高血压史、糖尿病史、心绞痛史、血糖、糖化血红蛋 白(HbA1c)、血钾、肌酐(Cr)、BUN、甘油三脂(TG)、总胆固醇(TC)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)及病变类型与老年ST 段抬高型心肌梗死患者发生MVA 的发生无关,Killip 分级、Cr 和LDL 与MVA 的发生有关,且Killip 分级和Cr 水平是发生 MVA 的独立危险因素。结论:Killip 分级和Cr 水平是诱发老年ST 段抬高型心肌梗死后MVA 的独立危险因素。
英文摘要:
      Objective:To investigate the risk factors of malignant ventricular arrhythmias in elderly patients with ST segment elevation myocardial infarction (STEMI).Methods:150 elderly patients with acute STEMI were analyzed retrospectively. Based on the presence or absence of malignant ventricular arrhythmia (MVA), the patients were divided into the control group (non-MVA) and observation group (MVA), the clinical data and indicators were compared between two groups.Results:Gender, age, smoking history, history of hypertension, diabetes mellitus, history of angina, blood glucose, glycosylated hemoglobin (HbA1c), serum potassium, creatinine (Cr), BUN, triglyceride (TG), total cholesterol (TC), high-density lipoprotein (HDL), low density lipoprotein (LDL) and lesion type of MVA had no relationship with the occurrence of MVA in elderly patients with STEMI, while Killip classification, Cr, and LDL were correlated with the occurrence of MVA, and Killip class, creatinine levels were independent risk factors for the occurrence of MVA.Conclusion:Killip classification and Cr levels were independent risk factors of the occurrence of MVA in elderly patients with STEMI.
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