老年冠心病患者伴有心梗史对围术期发生心血管事件的影响被引量：4

Effect of MI history on perioperative cardiovascular events in elderly CHD patients

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摘要目的：探讨有或无心梗史对老年冠心病患者围术期发生心血管事件的影响。方法：择期行非心脏手术的老年冠心病患者128例，按照有无心梗史分为心梗史组（n=63）和无心梗史组（n=65）。监测麻醉前15min、术中、术后30min ECG，统计sT-T改变和各型心律失常，记录术后急性心肌梗死的发生。结果：术中心梗史组ST-T改变发生率、sT段抬高的最大幅度、心律失常总发生率、房颤和室内传导阻滞（完左、完右）的发生率均高于无心梗史组（P〈0．05，P〈0．01）；术后ST-T改变发生率、ST段压低最大幅度、ST段抬高的最大幅度以及心梗发生率均大于无心梗史组（P〈0．05，P〈0．01）；且术后4～7d心梗发生率较高（P〈0．05）。结论：有心梗病史是老年冠心病手术患者心血管事件的危险因素。

作者赵小祺王春光李国利滕金亮

机构地区河北北方学院基础医学院附属第一医院心电图科附属第一医院麻醉科

出处《中国应用生理学杂志》 CAS CSCD 2014年第5期428-430,共3页 Chinese Journal of Applied Physiology

基金河北省科技计划项目(12276104D-39) 张家口市科技局资助项目(12110046D-2)

关键词老年冠心病心梗史围术期心血管事件 coronary heart disease myocardial infarction history perioperative period cardiovascular events

分类号 R541.4 [医药卫生—心血管疾病]

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