摘要
目的探讨急性心肌梗死 ( AMI)患者二尖瓣返流 ( MR)的预后意义。方法对 14 2例 AMI患者住院早期 ( 7天内 )行超声心动图检查 ,以彩色多普勒定量测定其 MR。并对 MR组及无 MR组的临床资料、超声心动图指标及预后进行对比分析。结果 90例无 MR( 6 3.38% ) ,轻度 MR 43例 ( 30 .2 8% ) ,中、重度 MR 9例 ( 6 .34% )。 MR组较无 MR组患者年龄更大、既往心肌梗死发病率及高血压发病率更高 ( P<0 .0 5 )。 MR返流组脉冲多普勒 E峰、E/A显著高于无 MR组 ( P均 <0 .0 5 )。 MR组 30天及 1年病死率均显著高于无MR组 ( P均 <0 .0 5 )。结论超声心动图证实的 MR对
Objective To evaluate the prognostic significance of mitral regurgitation (MR) in the patients with acute myocardial infarction (AMI).Methods Echocardiographic examination was conducted in 142 AMI patients within 7 days during admission and color Doppler was used to measure MR.The clinical data,echocardiogram indexes and prognosis in the patients with MR or with no MR were compared and analyzed.Results 90 patients (63.38%) had no MR,43(30.28%) had slight MR and 9(6.34%) had moderate or severe MR.The patients with MR were elder and had a history of higher incidence of myocardial infarction and hypertension than the patients without MR (P<0.05).The E wave and E/A ratio detected by pulse Doppler in the patients with MR were higher than those in the patients without MR (P<0.05).30 day and 1 year mortality rates of the patients with MR were higher than those with MR (P<0.05).Conclusion MR detected by echocardiogram has prognostic value in the patients with AMI.
出处
《中国综合临床》
北大核心
2002年第1期22-23,共2页
Clinical Medicine of China
