Robinson K, Conroy R M, Mulcahy R, Madden B
Cardiac Department, St Vincent's Hospital, Dublin, Ireland.
Br Heart J. 1988 Dec;60(6):470-3. doi: 10.1136/hrt.60.6.470.
Six hundred and eighty four patients (629 men), all aged under 60 years, who had survived for 28 days after a first acute myocardial infarction were studied to determine the influence of the site of infarction on long term prognosis. The infarct site was not significantly related to age nor to extent of infarct at the time of the acute episode. Mechanical complications were more common in patients with anteroseptal infarctions, while atrioventricular conduction disturbances were more commonly found in those with inferior infarction. The site of infarction was not related to smoking habits or angina before the infarction or at 2 year follow up. Life table methods did not show any relation between infarction site and morbidity or mortality either two years or 15 years after the initial infarction.
684例患者(629例男性),年龄均在60岁以下,首次急性心肌梗死后存活28天,对其进行研究以确定梗死部位对长期预后的影响。梗死部位与年龄以及急性发作时的梗死范围均无显著相关性。机械性并发症在前壁梗死患者中更为常见,而房室传导障碍在下壁梗死患者中更为常见。梗死部位与梗死前或2年随访时的吸烟习惯或心绞痛无关。生命表法未显示梗死部位与初次梗死后2年或15年的发病率或死亡率之间存在任何关联。