急性ST段抬高型心肌梗死患者机械并发症的研究
Study of mechanical complications in patients with acute ST-segment elevated myocardial infarction.
作者信息
Mathur Rohit, Lakhawat Vivek, Kesarwani Viplov, Sarda Pawan, Baroopal Anil
机构信息
Department of Cardiology, Dr SN Medical College, Jodhpur, Rajasthan, India.
Department of Cardiology, Dr SN Medical College, Jodhpur, Rajasthan, India.
出版信息
Indian Heart J. 2024 Jan-Feb;76(1):60-62. doi: 10.1016/j.ihj.2024.01.015. Epub 2024 Jan 30.
Abstract
This prospective observational study aimed to determine the proportion of mechanical complications in patients with acute STEMI and assess the associated outcomes. The study was conducted between June'21 and May'22, including 1307 patients. Mechanical complications were evaluated using 2D-Echo. Among the STEMI patients, 17 individuals (1.3 %) experienced mechanical complications. The most prevalent complication was FWR (n = 9), followed by VSR(n = 7) and PMR (n = 1). However, despite their low incidence, mechanical complications carry a significant mortality burden. Mortality rates were higher in older age and female patients.
摘要
这项前瞻性观察性研究旨在确定急性ST段抬高型心肌梗死（STEMI）患者机械并发症的比例，并评估相关结局。该研究于2021年6月至2022年5月进行，纳入了1307例患者。使用二维超声心动图评估机械并发症。在STEMI患者中，17例（1.3%）出现机械并发症。最常见的并发症是乳头肌功能不全（FWR，n = 9），其次是室间隔穿孔（VSR，n = 7）和乳头肌断裂（PMR，n = 1）。然而，尽管机械并发症的发生率较低，但却带来了显著的死亡负担。老年患者和女性患者的死亡率更高。
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