急性心肌梗死后继发性肺动脉高压的预后意义

来源 :世界核心医学期刊文摘(心脏病学分册) | 被引量 : 0次 | 上传用户:zzuli666
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We studied 536 patients with acute myocardial infarction and echocardiographic assessment of left ventricular systolic and diastolic function and measurement of right ventricular systolic pressure. On multivariable analysis, the grade of diastolic function, mitral regurgitation severity, age, and wall motion score index were independent predictors of right ventricular systolic pressure, and an increase in right ventricular systolic pressure was independently predictive of mortality(hazard ratio 1.22 per 10 mm Hg, p< 0.0001), after adjustment for conventional risk factors and left ventricular function. We studied 536 patients with acute myocardial infarction and echocardiographic assessment of left ventricular systolic and diastolic function and measurement of right ventricular systolic pressure. On multivariable analysis, the grade of diastolic function, mitral regurgitation severity, age, and wall motion score index were independent predictors of right ventricular systolic pressure, and an increase in right ventricular systolic pressure was independently predictive of mortality (hazard ratio 1.22 per 10 mm Hg, p <0.0001), after adjustment for conventional risk factors and left ventricular function.
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