14962 例急性心肌梗塞患者临床特征──中国心脏研究-Ⅰ 专题报告之五

Clinical Characterstics in 14962 Patients with Acute Myocardial Infarction: Chinese Cardiac Study Fifth Report

目的分析１４９６２例急性心肌梗死（ＡＭＩ）患者的临床特征。方法用ＳＡＳ６０４软件统计分析１４９６２例ＡＭＩ患者的４周总病死率和并发症。结果１４９６２例ＡＭＩ患者临床特征为：男性病人７３．９％；平均年龄６１．２±１０．７岁；有心肌梗死、高血压、糖尿病病史者分别占１２．２％，４０．４％，９．４％；基础血压１２６．６±２４．３／８１．３±１４．６ｍｍＨｇ；基础心率７９．３±１８．８ｍｉｎ－１。试验４周期间主要并发症心力衰竭为１７．９％，休克４．６％，心室颤动３．２％，其他类型的心跳骤停２．３％，Ⅱ～Ⅲ度房室传导阻滞５．２％，室性心动过速３．６％，梗塞扩展４．８％，脑卒中１．２％，心脏破裂０．５％。总病死率（２８ｄ）为９．４３％，死于泵衰竭为３．２５％，死于心律失常为４．５６％。

Aim To analyze the clinical characteristics of patients with acute myocardial infarction(AMI) recruited to the CCS 1. Methods Total mortality and morbidity in 14962 patients with AMI were analysed by SAS 604 pack. Results The clinical characteristics were found as followings:male 73 9%; age 61 2±10 7 yrs; history of previousMI, hypertension and diabetes 12 2%, 40 4%, and 9 4%, respectively; baseline blood pressure 126 6±24 3 / 81 3±14 6 mmHg;heart rate 79 3±18 8 min -1 . Within 4 weeks, incidence of heart failure was 17 9%,shock 4 6%, ventricular fibrillation 3 2%, other cardiac arrest 2 3%, 2￣3 degree A V block 5 2%, ventrucilar tachycardia 3 6%, infarct expansion 4 8%, stroke 1 2%, cardiac rupture 0 5%, total mortality 9 4%.