再发性心肌梗死危险因素的预测及预防

Prediction and Prevention of the Risk factors for Recurrent Myocardial Infarction

目的识别再发性心肌梗死的高危人群并进行预防性治疗。方法观察曾在该院住院、并进行随访的心肌梗死患者 ,分为再梗组和非再梗组 ,观察两组患者的临床特点。结果初发急性心肌梗死年龄大、合并高血压、糖尿病、吸烟、梗死后心绞痛的患者发生再梗死的机率大。结论初发急性心肌梗死年龄大、合并高血压、糖尿病、吸烟、梗死后心绞痛的患者是再梗死的危险因素。预防包括 :危险因素的干预、药物预防及介入治疗。

Objective To identify the population at high risk for recurrent myocardial infarction and to take measures for prevention.Methods Of all inpatients with myocardial infarction of our hospital,those followed up were divided into two groups:reinfarction and non reinfarction group,and their clinical characteristics were also observed.Results People with initial infarction at older age,hypertension,diabetes,smoking and post infarction angina had more possibility of reinfarction.Conclusion Older aged,hypertension,diabetes,smoking and post infarction angina were risk factors for reinfarction.Measures of prevention against reinfarction included intervention for risk factors,drug therapy and intervention therapy.\;