论文部分内容阅读
目的 探讨下壁心肌梗死(MI)急性期出现心房颤动(Af)与患者入院时临床特征的关系。方法 通过连续心电监护观察212例下壁MI急性期Af的发生率,并在患者入院时的临床指标中筛选与Af发生有关的因素。结果 212例中27例(12.7％)出现Af,对患者入院时11项指标采用多元逐步logistic回归分析,发现Killip心功能分级及合并右室MI是Af产生的独立相关因素(P分别<0.05和<0.01)。结论 下壁MI急性期发生Af与入院时的左心功能及是否合并右室MI有关。
Objective To investigate the relationship between the occurrence of atrial fibrillation (AF) in acute myocardial infarction (MI) and clinical features at admission. Methods The incidence of Af was detected in 212 cases of acute MI in inferior MI by continuous ECG, and the factors related to the occurrence of Af were screened out in the clinical indexes of patients admitted to hospital. Results Af occurred in 212 cases (12.7%). Eleven indicators of admission to hospital were analyzed by multivariate stepwise logistic regression analysis. It was found that Killip cardiac function classification and right ventricular MI were independent correlates of Af (P <0.05 and <0.01). Conclusions The incidence of Af in inferior MI during acute myocardial infarction is associated with left ventricular function at admission and right ventricular MI.