冠心病患者PCI治疗后出现心律失常的影响因素

Influencing Factors of Arrhythmia After PCI in Patients with Coronary Heart Disease

目的分析冠心病患者经皮冠状动脉介入术(PCI)治疗后发生心律失常的影响因素,为制定术后心律失常防治措施提供参考。方法对2020年3月至2022年2月在郑州人民医院完成PCI治疗和随访的200例冠心病患者资料进行回顾性分析,以随访1 a内是否发生心律失常对200例患者进行分组,分为发生组和未发生组。以两组病例资料比较结果,纳入差异有统计学意义的变量构建logistic回归模型,分析冠心病患者PCI治疗后发生心律失常的影响因素。结果共收集200份冠心病患者病例资料,发生心律失常事件共计48例,占24.00%。发生组年龄大于未发生组,Gensini评分、焦虑评分、血浆D-二聚体(D-D)水平高于未发生组,高血压、饮酒、TIMI 2级占比多于未发生组,左室射血分数(LVEF)低于未发生组,差异有统计学意义(P<0.05)。构建logistic回归模型,高龄、高血压、TIMI低分级、焦虑是增加冠心病患者PCI治疗后心律失常风险的危险因素(OR>1,P<0.05)。结论高龄、高血压、TIMI低分级、焦虑均能够增加冠心病患者PCI治疗后心律失常风险。

Objective To analyze the influencing factors of arrhythmia after percutaneous coronary intervention(PCI)in patients with coronary heart disease,and to provide reference for formulating postoperative arrhythmia prevention and treatment measures.Methods The data of 200 patients with coronary heart disease who completed PCI treatment and follow-up in People’s Hospital of Zhengzhou from March 2020 to February 2022 were retrospectively analyzed.Based on whether arrhythmia occurred within one year of follow-up,200 data were divided into occurrence group and non occurrence group.Based on the comparison results of the two groups of case data,a logistic regression model was constructed by incorporating statistically significant variables to analyze the influencing factors of arrhythmia in patients with coronary heart disease after PCI treatment.Results A total of 200 cases of coronary heart disease were collected.There were 48 arrhythmia events,accounting for 24.00%.The age of the occurrence group was older than that of the non occurrence group,Gensini score,anxiety score(SAS),plasma D-Dimer(D-D)level was higher than that of the non occurrence group,hypertension,alcohol consumption,TIMI Level 2 accounted for more than that of the non occurrence group,and left ventricular ejection fraction(LVEF)was lower than that of the non occurrence group,and the difference was statistically significant(P<0.05).Logistic regression model was constructed,and old age,hypertension,low TIMI grade and anxiety were the risk factors to increase the risk of arrhythmia in patients with coronary heart disease after PCI(OR>1,P<0.05).Conclusion Old age,hypertension,low TIMI grade and anxiety can increase the risk of arrhythmia in patients with coronary heart disease after PCI.