急性心肌梗死猝死的高危因素

The risk factor of sudden death in patients with acute myocardial infarction

目的 探讨急性心肌梗死 (AMI)猝死的高危因素。方法 对确诊为 AMI的住院患者 ,其中 AMI猝死组 94例 ,AMI非猝死组 (包括住院期间非猝死性死亡及存活者 ) 6 0 9例。所有患者住院期间的临床资料、实验室检查和心电图等 80多项指标均给以统计和分析。结果 两组分析比较 :情绪应激、高血压、脑卒中史、梗死时有心衰、梗死时有休克或低血压、心率偏慢、QRS低电压、心室复极指标异常、高血糖、高脂血症、室内传导阻滞等有统计学意义。结论 AMI最高危险因素是心肌梗死有心室复极异常、左室功能减低、室性心律失常 ,并伴有严重情绪应激。

Objective To investigate the risk factor of sudden death in patients with acute myocardial infarction(AMI).Method The clinical data laboratory elamination electrocardiogram and other things in 94 sudden death and 609 no sudden death patients with AMI daring hospitalization were analyzed.Results The differences of emotional stress,hypertension.apoplexy stroke,heart failare,low blood pressure,shock,bradycardia,ORS complex low voltage,abnormal ventricular repolarization index,high blood sugar,hyperlipemia and intraventricular block between sudden death and no sudden death patients were satistically significant.Conclusion The abnormal ventricular repolarization、left ventricle failure、Ventricular arrhythmias and serious stress of emotion are the riskest factor of sudden death in patients,with AMI.