老年人急性心肌梗死合并缺血性脑卒中危险因素

Analysis of Risk Factors of Cerebral Arterial Thrombosis of AMI in Old Patients

目的探讨老年人急性心肌梗死(AMI)合并缺血性脑卒中的相关因素,为临床提高心肌梗死奠定基础。方法回顾分析402例,年龄>60岁的AMI患者中缺血性脑卒中的发病情况,记录各项临床指标,分析与缺血性脑卒中发病相关的因素。结果402例患者中缺血性脑卒中33例(8.2%),其中短暂脑缺血发作(TIA)12例,完全性卒中21例。心脏附壁血栓25例,其中7例发生脑栓塞。逻辑回归分析表明,高血压、心脏附壁血栓、高血脂症、白细胞增高等,是AMI患者发生脑卒中的危险因素。结论缺血性脑卒中是老年AMI患者常见并发症,积极预防和处理该并发症及其各种危险因素,对于提高AMI患者预后具有重要意义。

Objective To investigate the rule of cerebral arterial thrombosis which occurred after the acute myocardial infaretion（AMI） in old people and to establish a foundation for improvement the effectiveness of treatment of AMI.Methotis 402 AMI patients, whose age is more than 60 - years old were included in the study. The clinical index was recorded to analysis the relationship between cerebral arterial thrombosis and AMI. Results 33 of 402 patients have cerebral arterial thrombosis. Of them, 12 is transient ischemic attack and 21 is completely stroke. 25 patients were found mural thrombus of heart and 7 of them had a cerebral embolism. Hypertension, mund thrombus of heart, hyperlipemia, and increasing of white blood cells is the independent risk factors for the occurrence of cerebral arterial thrombosis. Conclusion Cerebral arterial thrombosis is a frequent complication after AMI and prevention and treatment of it has a remarkbal significance in AMI patients.