摘要
目的探讨急性心肌梗死(AMI)伴恶性室性心律失常对预后的影响。方法以74例AMI患者为对象,按是否合并恶性室性心律失常分A组和B组,A组(伴恶性室性心律失常)32例,B组(不伴恶性室性心律失常)42例,对比两组患者的临床资料,分析恶性室性心律失常对预后的影响。结果A组住院病死率显著高于B组(P<0.05),A组3年再发心脏事件发生率和3年再发心脏事件病死率均显著高于B组(P<0.05)。结论AMI伴恶性室性心律失常患者,住院病死率高,再发心脏事件发生率高,再发心脏事件病死率高,预后差。改善预后关键除积极治疗原发病外,及时有效的预防和控制恶性室性心律失常也极为关键。
Objective To investigate the effects of malignant ventricular arrhythmias on prognosis of patients with acute myocardial infarction (AMI). Methods 32 with malignant ventrcular arrhythmias (group A) and 42 without malignant ventrcular arrhythmias (group B) were compared to observe clinical characteristics and the effects of malignant ventrcular arrhythmias on prognosis. Result During hospital station the mortality was significantly higher in group A than that in group B (P<0.05). Three years later, both the recurrente rate of heart events and mortality in group A compared with those in group B were significantly different(P< 0.05). Conclusions AMI patients with malignant ventrcular arrhythmias had a higher mortality, as well as the recurrente rate of heart events and accompanied mortality. In order to improve the prognosis of AMI patients with malignant ventrcular arrhythmias, they must be timely noticed and well controlled.
出处
《老年医学与保健》
CAS
2002年第2期105-107,共3页
Geriatrics & Health Care
关键词
急性心肌梗死
恶性室性心律失常
预后
合并症
Acute distase
Myocardial infarction
Arrhythmia
Death
Sudden
Cardiac
Prognosis
