急性心肌梗死患者收缩压水平与预后关系的探讨

急性心肌梗死患者收缩压水平与预后关系的探讨

耿学峰，宋丽萍，郭云飞，周淋

(北京市海淀医院心内科，北京 100080)

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-06-25

Study on Relationship between Systolic Blood Pressure and Prognosis in Patients with Acute Myocardial Infarction

GengXue-feng,Song Li-ping,GuoYun-fei,et al.

(Department of Cardiology,Beijing Haidian Hospital,Beijing 100080, China)

Received:1900-01-01 Revised:1900-01-01 Online:2016-06-25

摘要/Abstract

摘要： 【摘要】目的：探讨急性心肌梗死（AMI）患者入院时临床特征，收缩压水平及与预后的关系。方法：回顾性分析1257例急性心肌梗死患者资料，根据其入院时收缩压（SBP）水平而分为五组，分别比较各组的基本临床资料、冠状动脉造影结果和院内并发症及死亡率情况。结果：急性心肌梗死患者院内病死率为（＜106mmHg）22.1%最高、其余分别是[（106～125）mmHg]5.4%、[（126～140）mmHg]4.9%、[（141～160）mmHg]2.9%和（＞160mmHg）3.9%。患者入院时收缩压低于106mmHg组的的死亡率、心源性休克和肾功能不全发生率均高于其他四组。多因素Logistic回归分析显示，SBP＜106mmHg（OR=2.671，P＜0.05）和肌钙蛋白T峰值（OR=4.562，P＜0.05）肾功能不全及冠状动脉多支和左主干病变是入院AMI患者死亡的独立危险因素。结论：入院时SBP＜106mmHg患者在院期间病死率高，入院收缩压低可作为判断AMI患者预后不良的一个较好指标。

Abstract: 【ABSTRACT】Objective: To investigate the relationship between systolic blood pressure at admission and prognosis in patients with acute myocardial infarction (AMI).Methods:Data of 1257AMI patients admitted were retrospectively analyzed.Patients were classified into 5 groups according to the level of SBP at admission. The basic clinical data, the results of coronary angiography,complications and mortality of each group were compared.Results:A significantly higher mortality(22.1%) was found in Patients with SBP＜106mmHg, The mortality,cardic shock andrenal insufficiency in patients with SBP＜106mmHg were higher than those in other four groups.Multivariate logistic regression analysis demonstrated that SBP<106mmHg(OR=2.671, P＜0.05) troponin T peak(OR=4.562,P＜0.05), renal insufficiency, multivessel coronary artery and left main disease were independent positive predictors of hospital mortality.Conclusions:Higher mortality rate was found in AMI patients with SBP＜106mmHg at admission,and lower SBP at admission can be used as a better indicator of poor prognosis in patients with AMI.

耿学峰，宋丽萍，郭云飞，周淋. 急性心肌梗死患者收缩压水平与预后关系的探讨[J]. .

GengXue-feng,Song Li-ping,GuoYun-fei,et al.. Study on Relationship between Systolic Blood Pressure and Prognosis in Patients with Acute Myocardial Infarction[J]. .

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