中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2013, Vol. 42 ›› Issue (11): 1036–1038.

• 论著 • 上一篇    下一篇

急性心肌梗死患者住院期间新发心房颤动的多因素分析

邹德玲,陈艳丽,耿宁,刘兴利,杨川,庞文跃   

  1. 中国医科大学附属盛京医院心内科,沈阳110004
  • 收稿日期:2013-09-12 出版日期:2013-11-30 发布日期:2013-11-28
  • 作者简介:刘晓东(1985-),男,硕士

Clinical Characteristics and Short-term Prognosis of Ventricular Septal Rupture Following Acute Myocardial Infarction

ZOU De-ling,CHEN Yan-li,GENG Ning,LIU Xing-li,YANG Chun,P ANG Wen-yue   

  1. Department of Cardiology,Shengjing Hospital,China Medical University,Shenyang 110004,China
  • Received:2013-09-12 Online:2013-11-30 Published:2013-11-28

摘要: 目的探讨影响急性心肌梗死后患者住院期间新发心房颤动(房颤)的影响因素。方法收集2010年8月至2011年12月间在中国医科大学附属第一医院心内科住院首次诊断为急性心肌梗死(ST段抬高或者非ST段抬高)患者共444例,根据心律情况分为窦性心律组391例和新发心房颤动组53例。按照潜在危险因素收集数据,对影响心肌梗死后新发房颤的危险因素进行单因素和Logistic多因素回归分析。结果444例诊断为急性心肌梗死的患者中,新发心房颤动53例,Logistic多因素回归分析显示:年龄、Killip分级和#x003b2;-受体阻滞剂的比值比(OR值)分别为1.653、10.728和0.317,95%CI分别为1.047-2.610、4.725-24.359和0.152-0.663。结论年龄和心功能状况为影响急性心肌梗死后新发房颤的危险因素,而使用#x003b2;-受体阻滞剂为保护因素。

关键词: 急性心肌梗死, 房颤, 影响因素分析

Abstract: Objective To study the risk factors of new-onset atrial fibrillation(AF) among patients with acute myocardial infarction (AMI)during hospitalization.. Methods From August 2010 to December 2011,a total of 444 patients with first-ever AMI (ST segment elevation or non ST segment elevation) admitted to the First Hospital of China Medical University were selected. According to the incidence of AF,the subjects were divided into sinus rhythm group (n=391) and AF group (n=53). Data were collected base on the potential risk factors. Logistic regression analyses of single factor and multiple factors were performed to evaluate the risk factors of new-onset AF among AMI patients. Results A total of 444 cases were diagnosed as AMI,of whom 53 cases of AF were observed. Logistic regression analysis showed that the odds ratio of age,Killip grade and use of beta-blocker were 1.653,10.728 and 0.317,respectively (95% CI:1.047-2.610,4.725-24.359 and 0.152-0.663). Conclusion Age and cardiac function were the risk factors for new-onset atrial fibrillation after acute myocardial infarction,and the use of beta blocker was a protective factor.

Key words: acute myocardial infarction, atrial fibrillation, risk factors

中图分类号: 

  • R542.22
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