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入住冠心病监护病房的急性心肌梗死患者的预后。II. 出院后的生存情况。

Prognosis of patients with acute myocardial infarction admitted to a coronary care unit. II. Survival after hospital discharge.

作者信息

Kitchin A H, Pocock S J

出版信息

Br Heart J. 1977 Nov;39(11):1167-71. doi: 10.1136/hrt.39.11.1167.

Abstract

The factors adversely affecting long-term prognosis differed from those affecting outcome of acute infarction. Individual factors were previous history of infarction or hypertension, tachycardia, cardiac arrest, ventricular arrhythmia, atrial fibrillation, 3rd heart sound, raised venous pressure, and pulmonary crepitations. Multivariate analysis reduced these to 6--previous infarct or hypertension, sinus tachycardia, cardiac arrest, ventricular arrhythmia, and artial fibrillation. Of those who survived 5 years, approximately half had angina. Two-thirds of the under 60 survivors were at their normal work.

摘要

影响长期预后的因素与影响急性梗死转归的因素不同。个体因素包括既往梗死或高血压病史、心动过速、心脏骤停、室性心律失常、心房颤动、第三心音、静脉压升高和肺部啰音。多变量分析将这些因素减少至6个——既往梗死或高血压、窦性心动过速、心脏骤停、室性心律失常和心房颤动。在存活5年的患者中,约一半有胸痛症状。60岁以下存活者中有三分之二恢复了正常工作。

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