摘要
目的分析急性ST段抬高型心肌梗死患者PCI术后高危室性心律失常的危险因素。方法回顾性选取2019年2月至2021年2月郑州市第七人民医院心内科急性ST段抬高型心肌梗死患者314例,依据PCI术后高危室性心律失常发生情况分为发生组(86例)与未发生组(228例)。单因素、二元Logistic回归分析急性ST段抬高型心肌梗死患者PCI术后高危室性心律失常的危险因素。结果发生组患者的白细胞计数(WBC)、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、T波峰-末间期(Tp-Te)、QT间期离散度(QTd)、血清总胆固醇、肌钙蛋白I均高于未发生组(P<0.05),血钾、左室射血分数(LVEF)均低于未发生组(P<0.05),但两组患者的性别、年龄、糖尿病史、高血压史、吸烟史、冠状动脉造影检查结果、中性粒细胞计数百分比、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、肌酐、尿酸水平比较,差异未见统计学意义(P>0.05)。二元Logistic回归分析显示,急性ST段抬高型心肌梗死患者PCI术后高危室性心律失常的危险因素包括WBC、CK、CK-MB、QTd、Tp-Te、LVEF(P<0.05)。结论急性ST段抬高型心肌梗死患者PCI术后高危室性心律失常的危险因素包括WBC、CK、CK-MB、QTd、Tp-Te、LVEF。
Objective To analyze the risk factors of high-risk ventricular arrhythmia after PCI in patients with acute ST segment elevation myocardial infarction.Methods A total of 314 patients with acute ST segment elevation myocardial infarction in the Department of Cardiology of Zhengzhou Seventh People’s Hospital from February 2019 to February 2021 were retrospectively selected.According to the incidence of high-risk ventricular arrhythmia after PCI,they were divided into occurrence group(86 cases)and non occurrence group(228 cases).Univariate and binary logistic regression analysis was used to analyze the risk factors of high-risk ventricular arrhythmia after PCI in patients with acute ST segment elevation myocardial infarction.Results The incidence of WBC,TC,TnI,CK,CK-MB,Tp-Te and QTd in the group were higher than those in the non occurrence group(P<0.05),and the levels of K+and LVEF were lower than those in the non occurrence group(P<0.05).There was no significant difference in gender,age,diabetes history,hypertension history,smoking history,coronary angiography results,TG,LDL-C,HDL-C,creatinine and uric acid between the two groups(P<0.05).Binary logistic regression analysis showed that the risk factors of high-risk ventricular arrhythmia in patients with acute ST segment elevation myocardial infarction after PCI included WBC,CK,CK-MB,QTd,TP-Te and LVEF(P<0.05).Conclusions The risk factors of high-risk ventricular arrhythmia in patients with acute ST segment elevation myocardial infarction after PCI include WBC,CK,CK-MB,QTd,TP-Te and LVEF.
作者
谭远远
Tan Yuanyuan(Department of Cardiology,Zhengzhou Seventh People’s Hospital,Zhengzhou 450016,China)
出处
《临床医学》
CAS
2022年第4期18-21,共4页
Clinical Medicine
