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急性心肌梗死伴高血压病对预后的影响
引用本文:仇克难.急性心肌梗死伴高血压病对预后的影响[J].江汉大学学报(社会科学版),2003(2).
作者姓名:仇克难
作者单位:江汉大学附属医院心内科 湖北武汉430015
摘    要:目的 :分析合并高血压病的急性心肌梗死近期预后。方法 :110例急性心肌梗死患者 ,按照病史分为高血压组 (HT组 )和非高血压组 (NHT组 ) ,对比分析两组的重要临床事件。结果 :两组病人基础临床特征无明显差异 ,梗死部位相似。严重心律失常 ,心源性休克和梗塞扩展在HT组略多 (P >0 .0 5 )。HT组发生左室重构 ,心力衰竭 (心功能Ⅲ~Ⅳ级 ) ,心梗后心绞痛和死亡明显多于NHT组 (P <0 .0 5 )。结论 :伴高血压病的急性心肌梗死患者近期预后差。

关 键 词:急性心肌梗死  高血压病  预后

Short-term Prognosis of Acute Myocardial Infarction Patients with Hypertension
QIU Ke-nan.Short-term Prognosis of Acute Myocardial Infarction Patients with Hypertension[J].Journal of JIanghan University:Social Sciences,2003(2).
Authors:QIU Ke-nan
Abstract:Objective: To analyze the short-term prognosis of acute myocardial infaction patients with hypertension.Methods: 110 acute myocardial infarction patients were divided into hypertensive group(HT group)and non-hypertensive group(NHT group).The clinical critical events of two groups were analyzed in comparison. Results: The basic clinical features of two groups have no significant difference.The locations of myocardial infarction in two groups were nearly same.Severe arrythmia, cardiogenic shock and infarction extension in HT group were slightly more than those in NHT group(P> 0.05). Left ventricular remodelling,heart failure,postinfarction angina and death were obviously more frequent in HT group than those in NHT group(P< 0.05). Conclusion: The acute myocardial infarction patients with hypertension history have a bad short-term prognosis.
Keywords:acute myocardial infarction  hypertension  short-term prognosis
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