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复发性心肌梗死患者的临床特征。

Clinical features in patients with recurrent myocardial infarction.

作者信息

Löfmark R

出版信息

Acta Med Scand. 1979;206(5):367-70. doi: 10.1111/j.0954-6820.1979.tb13528.x.

Abstract

A retrospective investigation of 420 patients who had survived the acute phase of myocardial infarction revealed 63 reinfarctions (in 57 patients) within three months. Twenty-eight patients died without reinfarction during the same period, and 335 survived three months without reinfarction. The reinfarction patients were significantly more often women, had more frequently a history of previous myocardial infarction and hypertension, and their myocardial infarctions were more often non-transmural and localized to the anterior wall of the heart. The ECG of each patient that was registered nearest prior to the reinfarction during hospitalization or prior to discharge showed more often negative T-waves.

摘要

对420例心肌梗死急性期存活患者进行的回顾性调查显示,在三个月内有63例(57例患者)再次发生心肌梗死。同期有28例患者未发生再次梗死而死亡,335例患者存活三个月且未发生再次梗死。再次梗死患者中女性明显更多见,既往心肌梗死和高血压病史更常见,其心肌梗死更多为非透壁性且局限于心脏前壁。在住院期间再次梗死前或出院前最近记录的每位患者的心电图中,T波倒置更为常见。

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