摘要
目的观察并分析以左心功能不全为首发症状的老年急性心肌梗死患者的临床特点,探讨老年患者心肌梗死的发病特点及其病因和危险因素。方法收集2009年3月至2013年11月来我院急诊科就诊的以左心功能不全为首发症状的112例老年急性心肌梗死患者为研究对象,分析其临床特点、并发症及危险因素等,另外选取同时期非老年急性心肌梗死患者36例作为对照(非老年组)。结果以左心功能不全为首发症状的老年患者以男性居多,多为无痛型梗死,多合并糖尿病、高血压等危险因素,诱因不明显,与非老年组比较有统计学差异(P<0.05);以左心功能不全为首发症状的老年患者非ST段型心肌梗死患者发病率高于非老年组(P<0.05)。结论急性心肌梗死多见于老年患者,其中男性发病率较高,患者多合并糖尿病、高血压,左心收缩舒张功能损伤造成急性左心衰,对于急性心肌梗死患者要重视各种高危因素,积极预防。
Objective To analyze the clinical characteristics of acute myocardial infarction with left ventricular dysfunction as the first symptom in the elderly patients, and to investigate the risk factors. Methods The patients with acute myocardial infarction from March 2009 to November 2013 were selected. The clinical features, complications and risk factors were analyzed.Thirty-six non-elderly cases of acute myocardial infarction at the same period were selected as control. Results In the elderly patients with left ventricular dysfunction as the first symptom, there were more male patients. Most patients presented with painless infarction. The incidence rate of diabetes, hypertension was higher in elderly group than that in non-elderly group. The incidence rate of non-ST-segment myocardial infarction was higher in elderly group than that in non-elderly group （P〈0. 05）. Conclusions Acute myocardial infarction is more common in the elderly patients, and most patients suffer from diabetes, hypertension.
出处
《实用老年医学》
CAS
2015年第7期574-576,共3页
Practical Geriatrics
关键词
左心功能不全
老年人
急性心肌梗死
left ventricular dysfunction
aged
acute myocardial infarction
