急性心肌梗死患者心脏破裂的相关因素

Relative factors in patients with acute myocardial infarction complicated by heart rupture

目的分析急性心肌梗死（AMI）患者发生心脏破裂的相关因素。方法连续选取本院急诊科2007年1月~2014年12月确诊急性心肌梗死的1 129例患者，经超声心动图证实发生心脏破裂的28例患者，分析相关临床因素。结果年龄、血清肌酸激酶（CK）、脑钠尿肽（BNP）、左室射血分数（LVEF）、ST抬高振幅、性别、心肌梗死部位均对AMI患者发生心脏破裂有显著意义（均P〈0.05）。结论年龄大、女性、BNP水平显著升高、LVEF值显著降低、ST抬高振幅显著升高是心脏破裂的独立相关因素。

AIM cardiac rupture. To analyze the related factors of acute myocardial infarction （AMI） in patients with METHODS Included in this study were 28 patients with echocardiographic evidence of cardiac rupture out of the 1129 patients diagnosed with AMI from January 2007--December 2014 in our Emergency Department. Relevant clinical factors for AMI complicated by heart rupture were ana- lyzed. RESULTS Age, serum creatine kinase （CK）, brain natriuretic peptide （BNP）, left ventricular ejection fraction （LVEF）, ST elevation amplitude, gender and the position of AMI were all of signifi- cance for AMI in patients with cardiac rupture （all P 〈 0.05 ）. CONCLUSION Advanced age, female gender significantly, increased BNP levels, significantly lower LVEF levels and markedly increased ST elevation amplitude are all independent related factors for patients with AMI complicated by heart rupture.