| 张富成,陈康玉,王齐,汪岳男,余华.急性心肌梗死后患者院内心力衰竭的临床特征与分析[J].中国临床保健杂志,2023,26(2):260-264. |
| 急性心肌梗死后患者院内心力衰竭的临床特征与分析 |
| Clinical characteristics and analysis of in-hospital heart failure in patients after acute myocardial infarction |
| 投稿时间：2023-02-20 |
| DOI：10.3969/J.issn.1672-6790.2023.02.027 |
| 中文关键词: 心力衰竭 心肌梗死 危险因素 住院病人 回顾性研究 |
| 英文关键词: Heart failure Myocardial infarction Risk factors Inpatients Retrospective studies 〖FL |
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| 中文摘要: |
| 目的 探讨急性心肌梗死(AMI)患者院内心力衰竭的主要影响因素,并分析其对于院内心力衰竭的预测价值。方法 回顾性收集2017年1月至2020年6月期间中国科学技术大学附属第一医院(安徽省立医院)诊断为AMI的患者1 845例,根据是否发生院内心力衰竭分为心力衰竭组(778例)和对照组(1 067例)。通过多因素logistic回归分析AMI患者发生院内心力衰竭的影响因素,绘制不同指标的ROC曲线,评估其对AMI后院内心力衰竭的预测价值。结果 AMI后院内心力衰竭的发生率为42.2%。多因素logistic回归分析显示女性、糖尿病史、心房颤动史、较高的年龄、高白细胞计数、尿酸、脉搏、Gensini评分以及低血红蛋白、三酰甘油是AMI后院内心力衰竭的独立危险因素(P<0.05)。ROC曲线提示Gensini评分及年龄对AMI后院内心力衰竭有较好的预测效能,且两者联合有更高的预测价值(ROC曲线下面积0.700),敏感性、特异性分别为0.737和0.573。结论 女性、糖尿病史、心房颤动史和年龄等多种因素与AMI患者院内心力衰竭的发生相关。Gensini评分联合年龄可较准确预测AMI后院内心力衰竭的发生。 |
| 英文摘要: |
| Objective To explore the main influencing factors of heart failure (HF) in hospitalized patients after acute myocardial infarction (AMI),and analyze its predictive value for heart failure in hospitalized patients.Methods One thousand eight hundred and forty-five patients with AMI from January 2017 to June 2020 were retrospectively reviewed,and they were divided into a heart failure group (778 cases) and a control group (1 067 cases) according to cardiac function.We analyzed risk factors affecting heart failure by multivariate logistic regression.ROC curves of different indicators were drawn and evaluated their predictive value for hospitalized patients with heart failure after AMI.Results The incidence of heart failure in hospital after AMI was 42.2%.Multivariate logistic regression analysis showed that women,history of diabetes,atrial fibrillation,higher age,higher leukocyte count,uric acid,pulse,Gensini score,and low hemoglobin,triglycerides were independent risk factors for heart failure after AMI (P<0.05).The ROC curve suggested that Gensini score and age had better predictive efficacy on heart failure after AMI,and the combination had higher predictive value (area under ROC curve 0.700),the sensitivity and specificity were 0.737 and 0.573,respectively.Conclusions A variety of factors such as female,diabetes history,atrial fibrillation,age and so on are associated with heart failure in hospitalized patients after AMI.The Gensini score combined with age can predict the occurrence of in-hospital heart failure after AMI more accurately. |
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