摘要
目的 :研究梗塞前心绞痛对急性心肌梗塞近期预后的影响。方法 :回顾本院五年来急性心肌梗塞住院患者 138例 ,其中梗塞前有明确心绞痛病史者 10 3例 ,占 76 .3% ,无明确心绞痛病史者 35例 ,占 2 5 .4% ,两组对照其住院期间 ,心律失常、心衰、心源性休克等并发症的发生率。结果 :有心绞痛病史组其室性心律失常、心衰、心源性休克、猝死等严重并发症的发生率明显低于无心绞痛病史组 (P <0 .0 1)。结论 :提示梗塞前心绞痛严重影响急性心肌梗塞的近期预后 ,这可能与心肌缺血预处理有关。
Objective:To investigate the inffluence of anginas prior to AMI on the recent prognosis posterior to AMI Method:138 cases with acute myocardial infarction(AMI) in recent five years were reviewed,of which 103 patients had certain angina history(76 3 percent as angina group),35 patients had no angina history(25 4 percent as non angina group) The rates of arrhythmia,heart failure,heart shock and other complications occuring in the two groups were analysed Result:The rates of ventricular arrhythmia,heart failure,heart shock,sudden dead and other serious complications in angina group are obviously lower than that in no angina history group(P<0 05) Conclusion:It suggested that anginas prior to AMI have important influence on recent prognosis posterior to AMI Cardiac ischemic precondiction may be responsible for it
出处
《广西医学》
CAS
2000年第3期454-456,共3页
Guangxi Medical Journal
关键词
梗塞前心绞痛
急性心肌梗塞
近期预后
Anginas prior to AMI
Acute myocardial infarction(AMI)
Complication posterior to AMI
Recent prognosis
Cardiac ischemic precondition
