初发急性 ST 段抬高心肌梗死患者预后的影响因素分析.

Objective: To Study the influence factors for prognosis of initial onset ST elevated myocardial infarction patients. Methods: We selected 258 cases of ST-segment elevation myocardial infarction (STEMI) patients in our hospital in 2010 as research subjects, whose symptoms were onset in 24 hour, colleted patients informations of medical histories, laboratory examinations, UCG and CAG, and followed up major cardiovascular events. To analyse the statistically significant influence factors for prognosis by correlation analysis, then through Logistic regression and Cox regression analyse the influence factors for short and long-term prognosis of AMI patients. Results: The resident death rate of AMI patients was 6.2% （16/258）, and the influence factors with resident death of AMI hospitalized patients were primary PCI (r=-0.253, P=0.000, OR=0.318, 95%CI: 0.101-0.997) and fasting blood glucose levels (r=0.24, P=0.01, OR=1.136, 95%CI: 1.020-1.265); Followed up on average 7.6± 3.8 months, the total major cardiovascular events were 10.3%(25/242), the percentage of cardiac death was 2.5%(6/242); The influence factor with long-term death rate of AMI patients through Cox regression was HsCRP concentration (r=0.182, P=0.008, OR=1.223, 95%CI：1.065-1.403). Conclusion: There were several reasons for short and long-term prognosis of AMI patients. The influence factors with resident death of AMI hospitalized patients were primary PCI and fasting blood glucose levels, and the influence factor with long-term death rate of AMI patients was HsCRP. [ABSTRACT FROM AUTHOR]