急性心肌梗死合并对应性ST改变的临床特征及预后

Clinical features and prognosis of acute myocardial infarction companied corresponding ST-segment change

目的 :分析急性心肌梗死 (AMI)合并对应性 ST改变的临床特征及预后。方法 :记录 12 6例有 Q波 AMI患者中合并对应性 ST段改变者的临床特征及住院早期并发症 ,行常规 12导联及右胸导联加 V7～ 9导联 ,并与无 ST段改变者比较。结果 :AMI合并 ST段改变组较无 ST段改变组住院早期严重心律失常 (P<0 .0 5 )及泵衰竭 (P<0 .0 5 )发生率高 ,住院病死率也增高 (P<0 .0 5 )。结论 :AMI合并对应性

Objective:To analyze the clinical features and prognosis of acute myocardial infarction(AMI) companied corresponding ST-segment change.Methods:One hundred and twenty-six AMI patients with Q wave companied corresponding ST-segment change were analyzed.The clinical characteristics and in-hospital mortalities of groups of patients with and without ST-segment change were compared.Results:AMI patients with ST-segment change had a severe arrhythmia during the early stage of in-hospital ( P <0.05),a greater incidence of heart failure( P <0.05),and had a higher in-hospital mortality( P <0.05).Conclusion:Patients with AMI companied corresponding ST-segment change had worse in-hospital prognosis.