急性前间隔梗塞并发束支阻滞不仅增加住院期死亡率,而且亦增加出院后死亡率和猝死危险性.本文旨在评价存活超逾6周的这类患者的远期预后,藉以探讨其最适宜的监护期限.方法:42例急性前间隔心肌梗塞并发束支阻滞的患者.束支阻滞属于急性前间隔梗塞并发症的标准是:(1)住院后发生束支阻滞;(2)急性梗塞前6月内心电图检查无束支阻滞;(3)V_1呈QR型但以往无梗塞.患者在梗塞后最初6周留住在监护病区,严密观察诸如心源性休克、肺水肿、Ⅱ度或高度房 Acute anterior septal infarction complicated by bundle branch block not only increases hospital mortality but also increases post-discharge mortality and the risk of sudden death.The purpose of this paper is to evaluate the long-term prognosis of patients who survive for more than 6 weeks, Appropriate duration of care.Methods: Forty-two patients with acute anterior myocardial infarction complicated by bundle branch block were included in this study.The criteria for the complications of acute anterior infarction were: (1) bundle branch block after hospitalization; (2) ) Electrocardiogram without bundle branch block within 6 months prior to acute infarction; (3) V_1 QR-type but no infarction in the past. Patients remained in the ward for the first 6 weeks after infarction and were closely monitored such as cardiogenic shock, pulmonary Edema, Ⅱ degree or height of the room