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[心肌梗死合并房室传导障碍患者的远期预后]

[Late prognosis of patients after myocardial infarction complicated by atrioventricular conduction disorders].

作者信息

Bacior B

机构信息

I Kliniki Kardiologii Collegium Medicum, Uniwersytetu Jagiellońskiego w Krakowie.

出版信息

Przegl Lek. 1994;51(7):281-4.

PMID:7871199
Abstract

The purpose of the study was to follow-up postmyocardial infarction patients with atrioventricular conduction disorders complicating the acute phase of the disease. The study population consisted of 42 patients, 30 men and 12 women, aged 42 = 91 years (x = 65.2 +/- 12.6). Inferior and anterior myocardial infarction developed in 28 and 16 patients, respectively. The follow-up ranged from 1 to 5 years (x = 3.6). Within the first year there were 14 deaths, and 28 patients had control check-up. All the patients were submitted for physical examination, routine electrocardiography, 24-hr continuous ECG recording. At 1 year none of the patients developed new conduction disorders, whereas 71.4% of the patients revealed arrhythmias in ECG recording. Within 5 years there were 20 deaths (47.66%). A group of those who died, when compared with survivors was characterized by higher mean age, significantly more frequent presence of arterial hypertension and prior myocardial infarction.

摘要

该研究的目的是对心肌梗死后急性期并发房室传导障碍的患者进行随访。研究对象包括42例患者,其中男性30例,女性12例,年龄在42至91岁之间(平均年龄为65.2±12.6岁)。下壁心肌梗死和前壁心肌梗死分别发生在28例和16例患者中。随访时间为1至5年(平均3.6年)。第一年有14例死亡,28例患者接受了对照检查。所有患者均接受了体格检查、常规心电图检查以及24小时连续心电图记录。1年后,所有患者均未出现新的传导障碍,而71.4%的患者在心电图记录中显示有心律失常。5年内共有20例死亡(47.66%)。与幸存者相比,死亡患者组的平均年龄更高,动脉高血压和既往心肌梗死的发生率明显更高。

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