情绪波动对急性心肌梗死后心律失常和心力衰竭的影响

Effect of Feeling Fluctuation on Cardiac Arrhythmia and Heart Failure Following Acute Myocardial Infarction

目的回顾性探讨情绪波动对急性心肌梗死后心律失常、休克和心力衰竭的影响 ,为针对性地护理提供理论依据。方法将 2 4 1例急性心肌梗死病人有情绪波动 15 6例为观察组 ,无情绪波动 85例为对照组 ,比较情绪波动与心律失常、休克和心力衰竭的关系。结果观察组心律失常的发病率比对照组明显增高 (P <0 .0 1) ,差异有显著性意义。并得出相对危险度 (RR) =1.6 3,归因危险度 (AR) =2 9.12 % ,归因危险比数 (ARP) =38.83% ;室性期前收缩发病率比对照组明显增高 (P <0 .0 1) ,差异有显著性意义 ,并得出RR =2 .2 9,AR =2 6 .5 0 % ,ARP =5 6 .37%。结论情绪波动可使急性心肌梗死后心律失常 ,特别是室性期前收缩的发病率增高。

Objective To retrospectively investigate the effect of feeling fluctuation on cardiac arrhythmia, shock and heart failure following acute myocardial infarction. Methods Of the 241 cases of acute myocardial infarction, 156 with feeling fluctuation served as observation group and the remaining 85 cases without feeling fluctuation as control group. The correlation between feeling fluctuation and cardiac arrhythmia, shock and heart failure was studied. Results The incidence of cardiac arrhythmia in observation group was higher than that in control group with the difference being very statistically significant(P<0.01,RR=1.63,AR=29.12%,ARP=38.83%). The incidence of premature ventricular beats in observation group was higher than that in control group(P<0.01, RR= 2.29 , AR=26.50%, ARP=56.37%). Conclusion The incidence of cardiac arrhythmia and premature ventricular beats after acute myocardial infarction was increased owing to feeling fluctuation.