医学临床研究
  2025年6月17日 星期二           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2023, Vol. 40 Issue (4): 582-584    DOI: 10.3969/j.issn.1671-7171.2023.04.028
  论著 本期目录 | 过刊浏览 | 高级检索 |
急性心肌梗死心内导管室误激活患者不良预后相关影响因素
熊志伟
河南省信阳市中心医院,河南 信阳 464000
Factors Related to Poor Prognosis in Patients with Acute Myocardial Infarction Wrongly Activated by Intracardiac Catheterization
XIONG Zhi-wei
Xinyang Central Hospital,Xinyang Henan 464000
全文: PDF (1174 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】分析影响急性心肌梗死(AMI)患者心内导管室误激活预后不良的相关因素。【方法】前瞻性选取2019年5月至2022年2月本院收治的107例心内导管室误激活的AMI患者作为研究对象,根据患者预后情况将其分为观察组(预后不良者,n=31)和对照组(预后良好者,n=76)。收集患者的临床资料,采用Logistic多因素回归分析影响AMI患者心内导管室误激活预后不良的相关因素。【结果】107例AMI心内导管室误激活患者预后不良发生率为28.97%(31/107)。两组患者心血管危险因素、冠心病史、既往PCI史、首次医疗接触至器械时间、左束支传导阻滞、梗死动脉重建时间、胸痛症状比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,梗死动脉重建时间、冠心病史、既往PCI史、首次医疗接触至器械时间、左束支传导阻滞、胸痛症状是心内导管室误激活患者预后不良的影响因素(P<0.05)。【结论】AMI心内导管室误激活患者预后不良受梗死动脉重建时间、冠心病史、既往PCI史、首次医疗接触至器械时间、左束支传导阻滞、胸痛症状等因素的影响,临床学者可根据上述因素制定相关干预措施,减少不良心血管事件发生,改善患者预后。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
熊志伟
关键词 心肌梗死急性病预后影响因素分析    
Abstract:【Objective】 To analyze the related factors that affect the poor prognosis of intraventricular catheterization in patients with acute myocardial infarction (AMI). 【Methods】 A prospective study was conducted on 107 AMI patients admitted to our hospital from May 2019 to February 2022 who were mistakenly activated by intracardiac catheterization. Based on the patient's prognosis,they were divided into an observation group (those with poor prognosis,n=31) and a control group (those with good prognosis,n=76). Clinical data of patients were collected and logistic multiple factor regression analysis was used to analyze the related factors that affect the poor prognosis of cardiac catheterization in AMI patients.【Results】 The incidence of poor prognosis in 107 AMI patients with intracardiac catheter misactivation was 28.97% (31/107). There was a statistically significant difference (P<0.05) between the two groups of patients in terms of cardiovascular risk factors,history of coronary heart disease,previous PCI history,time of first medical contact with the device,left bundle branch block,time of infarcted artery reconstruction,and chest pain symptoms. Logistic regression analysis showed that the time of infarcted artery reconstruction,history of coronary heart disease,previous PCI history,time of first medical contact with the device,left bundle branch block,and chest pain symptoms were the influencing factors for poor prognosis in patients with intracardiac catheter room activation (P<0.05). 【Conclusion】 The poor prognosis of AMI patients with intracardiac catheterization room misactivation is influenced by factors such as infarct artery reconstruction time,history of coronary heart disease,previous PCI history,time of first medical contact with the device,left bundle branch block,chest pain symptoms,etc. Clinical scholars can develop intervention measures based on these factors to reduce the occurrence of adverse cardiovascular events and improve patient prognosis.
Key wordsMyocardial Infarction    Acute Disease    Prognosis    Root Cause Analysis
收稿日期: 2022-07-13     
中图分类号:  R542.22  
引用本文:   
熊志伟. 急性心肌梗死心内导管室误激活患者不良预后相关影响因素[J]. 医学临床研究, 2023, 40(4): 582-584.
XIONG Zhi-wei. Factors Related to Poor Prognosis in Patients with Acute Myocardial Infarction Wrongly Activated by Intracardiac Catheterization. JOURNAL OF CLINICAL RESEARCH, 2023, 40(4): 582-584.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.04.028     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I4/582
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn