摘要
目的:探讨急性心肌梗死(AMI)后接受血运重建术(PCI,CABG)的患者左室功能与病死率、心源性再住院率的关系,从而了解血运重建术是否能改善左室衰竭患者的预后.方法:分析我院1999-01～2003-02住院患者102例,根据左室射血分数(LVEF)值分成3组,LVEF≤40%(15例),40%＜LVEF＜50%(12例),LVEF≥50%(75例),分别随访1～4年的病死率和心源性再住院率.结果:LVEF≤40%组病死率,心源性再住院率显著高于其他两组(P＜0.05),另两组没有明显差异.结论:左室功能衰竭的AMI患者接受血运重建术时,LVEF≤40%者,其预后差.
AIM： To investigate the relationship between case fatality and left ventricular function in the patients who received revascularization after acute myocardial infarction. METHODS： We analysed 102 patients from January 1999 to February 2003 in our hospitals, and divided them into three groups, they were LVEF≤40% （n =15）, 40% 〈LVEF 〈50% （n = 12） and LVEF≥50% （n =75） groups respectively. We collected such data as sex, blood pressure, cigarettes, age, multivessel diseases, diabetes mellitus and so on. RESULTS ： The case fatality of LVEF ≤40% group was significantly higer than those of the other two groups （ P 〈 0.05 ）. CONCLUSION ： The case fatality of the patients with LVEF ≤40% after acute myocardial infarction is higher than those of other groups, suggesting a bad prognosis.
出处
《心脏杂志》
CAS
2005年第4期373-375,共3页
Chinese Heart Journal
关键词
心肌梗死
急性
血运重建术
左室功能
病死率
射血分数
左室
myocardial infarcion, acute
revascularization
left ventricular function
case fatality
ejectionfraction, left ventricular
