老年高血压合并急性心肌梗死的临床研究

Clinical study of elderly hypertensives with acute myocardial infarction

目的探讨老年高血压(HT)合并急性心肌梗死(AMI)的临床特点。方法对比分析82例老年HT合并AMI和64例无高血压(NHT)的老年AMI患者的临床资料。结果两组患者脉压、无痛性心肌梗死、并发症、住院病死率等方面比较差异有统计学意义(P<0.05)。结论老年HT合并AMI患者脉压差大,无痛性心肌梗死发病率高,左室肥厚、心力衰竭、心律失常并发症发生率高,住院病死率高,近期预后差。

Objective To explore the clinical features in elderly hypertensives（ HT） with acute myocardial infarction（ AMI）. Methods A comparative analysis was performed on the clinical data in 82 elderly HT with AMI and 64 elderly non-hypertensives（ NHT） with AMI. Results There were statistically significant differences in the pulse pressure,painless myocardial infarction,complications,hospital mortality between two groups（ P〈0. 05）. Conclusion Elderly HT with AMI has the following characteristics： large pulse pressure,high incidence of painless myocardial infarction,high incidence of complications such as left ventricular hypertrophy,heart failure,arrhythmia,and high mortality,poor prognosis in the near future.