摘要
目的探讨血压和心率(超过85次/min)对前壁ST段抬高心肌梗死(STEMI)病人死亡率的影响。方法研究对象为我院冠心病监护病房(CCU)接受治疗的100例病人。测量病人心率、血压水平。心率为病人入CCU基线心率和治疗后1h心率的平均值,并采用心电图进行记录。血压为病人休息5min之后在卧位测量的血压水平。结果存活前壁STEMI病人心率为86.88次/min±14.92次/min,死亡病人则为108.15次/min±25.36次/min,两组比较差异有统计学意义(P<0.01);心率超过85次/min可明显影响院内死亡率(P<0.01);死亡病人的收缩压为128.65mmHg±21.56mmHg,存活病人的收缩压则为140.58mmHg±20.87mmHg,存活者收缩压水平为较高(P<0.05),而两组舒张压水平差异无统计学意义。结论心率和血压可作为前壁STEMI病人死亡率的重要预测因子。
Objective To investigate the heart rate C〉85 beats per minute） and blood pressure,on the mortality in patients with anterior wall ST - elevation myocardial infarction （STEMI）. Methods One hundred patients were treated in coronary care unit. Heart rate was calculated. The mean heart at first 1 hour after admission as baseline and heart rate at last hour after treatment were recorded by electrocardiogram. Blood pressure levels were measured after 5 minutes of rest. The data were analyzed by SPSS 12.0. Results Heart rate （〉85/min） could effect the hospital mortality （P〈0.01）. Systolic blood pressure levels were higher in the survivors （P〈0.05）. Conclusion Increased heart rate and blood pressure,at admission were significant predictors of mortality in patients with an- terior wall STEMI.
出处
《中西医结合心脑血管病杂志》
2014年第2期142-144,共3页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词
ST段抬高型心肌梗死
心率
血压
死亡率
ST- elevation myocardial infarction
heart rate
blood pressure
mortality
