刘莉莉,王立君,周菁

• 1:河北省石家庄市第三医院心内科
• 2:北京大学第一医院心内科

摘要(Abstract)：

目的观察急性心肌梗死(AMI)合并早发或晚发心房颤动(房颤)的临床及冠状动脉病变特点。方法分析自2010年6月至2013年6月1358例AMI住院患者,经确诊为AMI合并新发房颤患者88例,根据房颤发生的时间是否在入院24 h以内,分为早发房颤组40例、晚发房颤组48例,比较两组临床特征、冠状动脉病变的差异。结果早发房颤组下壁心肌梗死的比例较高,而晚发房颤组前壁心肌梗死的比例较高(P<0.05);晚发房颤组冠状动脉三支病变、Killip心功能≥2级的发生率及住院期病死率均高于早发房颤组(P<0.05)。结论 AMI合并新发房颤的发生时间与患者的临床特征、梗死相关动脉及预后有关系,可作为评估AMI病情及预后的参考指标。

关键词(KeyWords)： 急性心肌梗死;心房颤动;冠状动脉病变

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 刘莉莉,王立君,周菁

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