急性非ST段抬高型心梗并发心衰临床特点观察

Clinical Features of Acute Non-ST-segment Elevation Myocardial Infarction Complicated With Heart Failure

目的对导致急性非ST段抬高型心梗患者发生心衰的因素进行探究和分析，了解急性非ST段抬高型心梗患者发生心衰的临床特点。方法选取2014年2月～2014年12月在我院接受治疗的80例急性非ST段抬高型心梗患者的临床特点进行回顾性分析，对非ST段抬高型心梗患者的年龄、性别、体重、糖尿病史、高尿酸血症、高血压病史、吸烟史、高胆固醇血症、心电图avR ST段是否抬高以及ST段下移的程度等因素进行调查分析。结果根据对Logistic模型分析，了解到急性非ST段抬高型心梗并发心衰与年龄、性别、高尿酸血症、高血压病史、心电图avR ST段抬高、ST 段下移程度以及糖尿病史有关。结论年龄、性别、高尿酸血症、高血压病史、心电图avR ST段抬高、ST段下移程度以及糖尿病史是导致患者出现急性非ST段抬高型心梗患者发生心衰的重要因素。

Objective To explore and analyze reasons for acute non-ST-segment elevation myocardial infarction complicated with heart failure in order to understand its clinical features. Methods Reviewed and analyzed clinical features of acute non-ST-segment elevation myocardial infarction complicated with heart failure,and selected from 80 patients who were treated in hospital from February 2014 to December 2014,and then made an analysis of several factors related to patients of acute non-ST-segment elevation myocardial infarction complicated with heart failure including age,gender,weight,diabetes history,hyperuricemia,hypertension,smoking,high cholesterol,ST-segment elevation of ECG avR and degree of ST segment shift down. Results According to analysis of logistic model,attack of acute non-ST-segment elevation myocardial infarction complicated with heart failure were related to patients’age,gender,hyperuricemia and hypertension history,ST-segment elevation of ECG avR and degree of ST segment shift down. Conclusion Several factors including patients’age,gender,hyperuricemia and hypertension history,ST-segment elevation of ECG avR and degree of ST segment shift down are mainly accounted for attack of acute non-ST-segment elevation myocardial infarction complicated with heart failure.