摘要
探讨心肌梗死前 48h内心绞痛对高龄 (≥ 80岁 )急性心肌梗死 (AMI)患者近期 (30天内 )预后的影响。以 12 1例高龄AMI患者为对象 ,对比分析梗死前有心绞痛组和梗死前无心绞痛组的病史、临床表现、并发症及病死率等特点。结果显示 ,梗死前有心绞痛组71例(5 8 7%) ,梗死前无心绞痛组 5 0例 (41 3%)。两组年龄、性别、主要心血管疾病史或危险因素、心肌梗死部位、肌酸磷酸激酶、肌酸磷酸激酶同工酶峰值、并发症、治疗和近期病死率均无统计学差异。提示梗死前心绞痛对高龄AMI患者近期预后无保护作用。
To evaluate the effect of prodromal angina pectoris on the outcome of patients of venarable age (≥80 years) suffering from acute myocardial infarction (AMI). One hundred and twenty-one patients of venarable age with AMI were divided into group A and group B according to presence or absence of the prodromal angina pectoris. 58.7% of the patients were in group A and 41.3% in group B. There was no statistically significant difference between two groups in age, sex, history of cardiovascular diseases or risk factors, location of infarction, peak creatine kinase levels, complications, treatment and in-hospital mortality rates (P>0.05). The results indicated that prodromal angina pectoris showed no beneficial effcet on the outcome in patients of venarable age with acute myocardial infarction.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2003年第9期798-799,共2页
Medical Journal of Chinese People's Liberation Army
关键词
心绞痛
不稳定型
心肌梗死
老年人
缺血预处理
心肌
angina, unstable
myocardial infarction
aged
ischemic preconditioning, myocardial
