摘要
本文通过36例冠心病猝死(SCD)病例分析了其临床特点,并从1972～1979年和1986～1989年两组急性心肌梗塞(AMI)恢复后出院的患者分别为337和500例长期随诊观察这些特点对SCD发生亭的影响。结果提示SCD临床高危险因素为:(1)不稳定性心绞痛;(2)原AMI并有左心衰竭;(3)AMI恢复后有室性心律失常或完全性束支传导阻滞;(4)并有室壁瘤成心室腔明显扩大及较广泛室壁运动障碍;(5)两次及以上心肌梗塞史;(6)心胸比率>0.55。从以上危险因素可识别SCD高危险组,但对个体患者近期SCD的预测尚不能作为准确指标。本文针对上述危险因素提出了对SCD的预防方案。
This paper analyzed the clinical characteristics among 36 cases of sudden coronary death (SCD) and observed whether these characteristics had any influence on the incidence of SCD in two series of cases recovered from acute myocardial infarction (AMI) from 1972 to 1979 (337 cases) and 1986 to 1989(500 cases)with long-term follow up. The results indicate that clinical high risk factors of SCD are: (1) unstable angina; (2) left heart failure in previous AMI; (3) ventricular arrhythmias or complete bundle branch block after recovery from AMI; (4) ventricular aneurysm or dilatation of left ventricular chamber with diffused ventricular wall movement abnormalities; (5) twice or more AMI histories; (6) cardiac to thoracic ratio >0.55 by teleroentgenography. High risk SCD group but not individual case could be identified by these risk factors. According to these high risk factors, a prevention program of SCD was suggested.
出处
《中国循环杂志》
CSCD
1992年第2期126-129,共4页
Chinese Circulation Journal
关键词
冠心病
猝死
危险因素
Sudden coronary death
High risk factor
