社区获得性肺部感染与急性心脏事件的关联

Correlation between community-acquired pulmonary infection and acute cardiac events

目的探讨社区获得性肺部感染与急性心脏事件的关联。方法选择社区获得性肺部感染患者98例,通过前瞻性观察及查阅病例资料等方法,明确急性心脏事件发生情况。结果 98例患者中,住院时出现一个或以上相关心脏事件21例(21.4%)。同时发生急性心肌梗死(AMI)6例(6.1%),其中2例出现新的心律失常,3例出现心力衰竭或心力衰竭恶化。新发心律失常而不伴有AMI 8例(8.2%),其中4例出现心力衰竭。新的心力衰竭或原有心力衰竭恶化不伴有新发心律失常或AMI 7例(7.1%),其中1例好转出院后猝死。结论肺部感染常同时发生急性心脏事件,应引起临床医师重视。

Objective To study the correlation between community-acquired pulmonary infection and acute cardiac events. Methods Ninety-eight patients with community-acquired pulmonary in- fection were included in this study. The incidence of acute cardiac events was recorded by prospective observation of their medical record data. Results One or more acute cardiac events occurred in 21（21.4%）out of the 98 patients. Arrhythmia and cardiac failure or aggravated cardiac failure occurred in 2 and 3 respectively out of the 6 patients who developed acute myocardial infarction （6.1%）. Cardiac failure occurred in 4 out of the 8 patients（8.2%） who developed new arrhythmia without acute myocardial infarction. Of the 7 patients（7.1%） who developed new cardiac failure or aggravating cardiac failure without new arrhythmia or acute myocardial infarction, 1 died after discharge. Conclusion Pulmonary infection accompanying acute cardiac events should bring to the clinician＇s attention.