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急性心肌梗塞病人处理中的一个重要部分是在住院期间检出出院之后将发生心脏性死亡的高危险性病人。本文探讨急性心肌梗塞病人在出院时作核素心室造影和24小时 Holter 监测,能否区分将在随访期发生心脏性死亡的高危险性患者。方法:115例男性患者,平均58.8±8.6岁(39～84岁)。33例为前壁心肌梗塞,41例为下壁梗塞,41例为心内膜下梗塞。Killip 分级:Ⅰ级60例,Ⅱ级48例,Ⅲ级7例。115例中39例有心肌梗塞既往史。住院15.8±7.8天(10～33天)后,在出院前1天,所有患者均作了24小时 Holter 记
An important part of the treatment of patients with acute myocardial infarction is the high-risk patients who will die of cardiac death after hospital discharge. This article explores the possibility of distinguishing between high-risk patients who will have cardiac death at follow-up from patients with acute myocardial infarction who are on nucheal ventriculogram and 24-hour Holter monitoring at discharge. Methods: A total of 115 male patients, mean 58.8 ± 8.6 years (39-84 years). 33 cases of anterior myocardial infarction, 41 cases of inferior wall infarction, 41 cases of subendocardial infarction. Killip classification: Ⅰ grade 60 cases, Ⅱ grade 48 cases, Ⅲ grade 7 cases. Among the 115 cases, 39 had a past history of myocardial infarction. After 15.8 ± 7.8 days of hospitalization (10 to 33 days), all patients were made Holter for 24 hours 1 day before discharge