摘要
目的探讨急性心肌梗死(AMI)首次治愈出院后再次发生AMI患者的临床特征。方法将32例再发AMI患者与同期患有AMI无再发组56例患者对比,回顾性分析其临床特征。结果再发组症状多不典型(P<0.05);多支病变者显著高于无再发组(P<0.05);再发组血总胆固醇以及血糖水平显著高于对照组(P<0.05)。结论再梗死患者多具有严重的冠状动脉多支病变,其临床症状多不典型,加强随访以及控制血总胆固醇和血糖等危险因素是防治再梗死的主要临床策略。
Objective To explore the clinical characters of recurrent acute myocardial infarction （AMI）, Methods The clinical data of 32 cases with recurrent AMI and 56 cases with recovered AMI （non - recurrent, as control group） were analyzed retrospectively. Results The syndrome of recurrent AMI were not typical compared with recovered AMI （ P 〈0.05） ; Multi vessel stenosis were more in recurrent AMI group than that in recovered AMI group （P〈 0.05）, The level of serum total cholesterol and glucose in recurrent group were higher than that in control group （P 〈 0. 05）, Conclusions The severe multi - vessel stenosis often occurred to the recurrent AMI and the clinical symptoms are not always typical, Strengthening followup and the control of serum total cholesterol and glucose were the key step to prevent recurrent AMI.
出处
《实用全科医学》
2005年第6期510-511,共2页
Applied Journal Of General Practice
关键词
急性心肌梗死
临床表现
冠状动脉
胆固醇
血糖
Acute myocardial infarction
Recurrence
Blood glucose
Total cholesterol
