摘要
目的对比分析急性下壁心梗和急性下壁合并右室心梗的临床特征和预后干预的意义。方法单纯急性下壁心梗患者组184例,急性下壁并右室心梗组118例,对两组患者的临床特点及冠脉造影资料进行分析。结果急性下壁合并右室心梗组发生低血压、休克、心律失常、室颤、临时起搏治疗比例较单纯下壁心梗组多(P<0.05),未行冠脉介入治疗者死亡率增高(P<0.01)。急性下壁合并右室心梗患者,右冠脉近中段阻塞者占95%。结论急性下壁合并右室心梗患者的血管病变部位多见于优势型右冠脉的近中段;对急性下壁合并右室心梗行早期冠脉介入治疗,可显著降低患者的死亡率。
Objective To contrast the clinical characteristics of acute inferior wall myocardial infarction （IWMI） and acute IWMI with acute right ventricular infarction （ARVI）. Methods A total of 184 patients of IWMI and 118 patients of IWM plus ARVI were analyzed. We compared the clinical manifestation, complicated disease, risk factor and coronary arteriography between the two groups. Results The proportions of hypotension, shock and arrhythmias including ventricular fibrillation and those that needed pace-making were higher in the group of IWMI plus ARVI than the other （P 〈 0.05 ）. The incidence rate of cardiac death rose re- markably in the patients of ARVI with IWM who had not undergone percutaneous coronary intervention （PCI） （P 〈 0. O1 ）. Coro- nary arteriography showed that the main blocked site in the group of IWMI plus ARVI was in the proximate marginal branch of right coronary artery （ accounting for 95% ）. Conclusion Acute IWMI plus ARVI has a poor prognosis. PCI helps to decrease the rate of mortality significantly in patients of IWMI plus ARVI.
出处
《临床军医杂志》
CAS
2014年第4期373-375,共3页
Clinical Journal of Medical Officers
关键词
急性下壁心梗
右心室梗死
冠状动脉病变
acute inferior wall myocardial infarction
right ventricular infarction
Coronary artery disease
