Abstract：【Objective】To analyze the risk factors for in-hospital mortality in acute myocardial infarction patients. 【Methods】The clinical data of 235 AMI patients admitted to our hospital from May 2012 to December 2016 were analyzed retrospectively. According to the patients' in-hospital outcomes, they were divided into the observation group (n=51, in-hospital death patients) and the control group (n=184, in-hospital survival patients). The clinical characteristics, laboratory tests (CK-MB, cTnI, Cr) , LVEF and reperfusion treatment were collected by electronic case system. Binary logistic regression was used to analyze the risk factors of AMI patients' death in hospital. 【Results】The age, cTnI level and chest pain time of the patients in the observation group were higher than those in the control group, while the reperfusion treatment rate (PCI or selective PCI or thrombolysis after reperfusion for AMI patients) and LVEF were significantly lower than those in the control group (P<0.05). Logistic regression analysis showed that cTnI, age, LVEF and no reperfusion treatment were related to the death events of AMI patients in hospital (P<0.05). cTnI had the highest value in predicting the death events of AMI patients in hospital. The ROC area under curve (AUC) (95% CI) was as high as 0.89 (0.84~0.94), significantly higher than other risk factors (.0.05). 【Conclusions】The high level of cTnI, age, cardiac function and no reperfusion treatment are the risk factors of hospital death in AMI.
马宏恩, 王鑫, 赵伟, 李媛. 急性心肌梗死患者发生院内死亡事件的危险因素分析[J]. 医学临床研究, 2019, 36(11): 2163-2165.
MA En-hong, WANG Xin, ZHAO Wei, et al. Risk Factors of Hospital Death in Patients with Acute Myocardial Infarction. JOURNAL OF CLINICAL RESEARCH, 2019, 36(11): 2163-2165.
2019, Vol. 36 
