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合并代谢综合征的急性心肌梗死患者临床特征 被引量：1

The clinical features of acute myocardial infarction in patients with metabolic syndrome
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摘要 目的 探讨合并代谢综合征(MS)的急性心肌梗死(AMI)患者的临床特征.方法 对81例合并MS的AMI患者及94例无MS的AMI患者进行回顾性研究,比较两组患者的基础临床情况、诱发因素、临床表现、梗死部位及心肌酶.结果与非 MS组相比,MS组年龄较大,女性患者所占比率较高(34.6%比17.0%,P＜0.01),吸烟和冠心病家族史比率较低(分别为43.2%比59.6%,13.6%比25.5%,均P＜0.05),饱餐后或情绪激动时发病率较高(分别为18.5%比7.4%,13.6%比4.3%,均P＜0.05),有胸痛者少(66.7%比81.9%,P＜0.05),心功能≥KillipⅡ级者较多(35.8%比22.3%,P＜0.05),住院病死率高(22.2%比10.6%.P＜0.05),前壁范围所占比率较高(51.9%比36.2%,P＜0.05),肌酸激酶同工酶较高[(147±19)U/L比(122±14)U/L,P＜0.01].结论 与无MS的AMI患者相比,合并MS的AMI患者年龄较大,女性患者较多,近期预后较差.
作者 张澍 程仁立 夏文书 王雪胜
机构地区 [
出处 《中国心血管病研究》 CAS 2009年第7期484-487,共4页 Chinese Journal of Cardiovascular Research
关键词 代谢综合征 心肌梗死
分类号 R542.2+2 [医药卫生—心血管疾病] R589 [医药卫生—内分泌]
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中国心血管病研究
2009年 第7期

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