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心电图左心室肥厚(LVH)被认为是预测Q波型和非Q波型急性心肌梗塞(AMI)后心脏性死亡的重要而独立的危险因素,本文研究AMI后LVH对预后的估价,作者于1981～1983年间研究13个冠心病临护病房(CCU)治疗生存的4 720例AMI患者,病死率的随访在1988年完成(平均随访5.5年)。187例诊断为心电图LVH。结果:心电图LVH在女性(7.4%)为男性(3.5%)的两倍以上(P<0.001)和随年龄而增加。在AMI前既往AMI、心绞痛和高血压患者也更为多见。LVH在非Q波型AMI为7.3%与Q波型AMI的4.3%对照(P<0.005),且LVH在住院时充血性
Electrocardiographic left ventricular hypertrophy (LVH) is considered as an important and independent risk factor for predicting cardiac death after Q-wave and non-Q-wave acute myocardial infarction (AMI). In this paper, we evaluated the prognosis of LVH after AMI. In 1983, a total of 4 720 AMI patients were studied for the survival of 13 coronary heart disease unit (CCU). The follow-up of mortality was completed in 1988 (average follow-up was 5.5 years). 187 cases were diagnosed as LVH. RESULTS: The LV LVH was more than twice as common in women (7.4%) as men (3.5%) (P <0.001) and increased with age. Previous AMI, angina, and hypertension are more common in patients with AMI. LVH was 7.3% for non-Q-wave AMIs versus 4.3% for Q-wave AMIs (P <0.005), and LVH was congestive on admission