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通过62例急性心肌梗塞(AMI)后有远离区心肌缺血患者和55例无远离区心肌缺血患者的随访资料分析,显示前者再次梗塞(13例)、左心衰竭(31例)与猝死(15例)等发生率均显著高于后者(分别为3例、6例和4例,P<0.05~0.005)。提示远离区心肌缺血可显著影响AMI患者的预后。作者指出,改善患者预后的关键是改善远离区心肌的缺血性改变及早期防治冠心病易患因素,并及时防治梗塞后心绞痛、室性早搏与左心衰竭等。如内科防治措施不奏效时,应考虑外科或介入性治疗。
The follow-up data analysis of 62 patients with acute myocardial infarction (AMI) with myocardial ischemia far and 55 patients without myocardial ischemia showed that the former infarcted again (13 cases), left heart failure (31 cases) and sudden death (15 cases) were significantly higher than the latter (3 cases, 6 cases and 4 cases, P <0.05 ~ 0.005). Tip far from myocardial ischemia can significantly affect the prognosis of patients with AMI. The authors point out that improving the prognosis of patients is the key to improve the ischemic changes far away from the myocardium and early prevention and treatment of coronary heart disease risk factors, and timely prevention and treatment of post-infarction angina, ventricular premature beats and left heart failure. Such as medical prevention and treatment does not work, should consider surgical or interventional treatment.