急性心肌梗死伴一过性Ⅰ°房室传导阻滞的相关因素分析.docVIP

精品论文 参考文献 急性心肌梗死伴一过性Ⅰ°房室传导阻滞的相关因素分析 马云霞 王幸 (江苏常州市第一人民院心电图室 213003) 【摘要】目的 探讨急性心肌梗死伴一过性Ⅰdeg;房室传导阻滞与相关因素的关系。 方法 对近年住院治疗的80例急性心肌梗死患者心电图进行回顾性分析，观察并比较出现一过性Ⅰdeg;房室传导阻滞者的心梗部位、冠脉造影结果；一过性Ⅰdeg;房室传导阻滞者(观察组)与无者(对照组)的冠心病危险因素的发生率、休克及心衰的发生率、Ⅱdeg;或Ⅲdeg;房室传导阻滞的发生率。结果 下壁AMI与下壁合并其他部位AMI一过性Ⅰdeg;AVB发生率无显著性差异(Pgt;0.01)；下壁及下壁合并其他部位AMI一过性Ⅰdeg;AVB发生率明显高于前壁AMI患者(P2lt;0.002，P3lt;0.01)；右冠状动脉病变一过性Ⅰdeg;AVB明显高于前降支和回旋支(Plt;0.001)；观察组与对照组在冠心病危险因素、发生休克和心衰、出现Ⅱdeg;或Ⅲdeg;房室传导阻滞(AVB)方面比较，其发生率无统计学差异。结论 急性心肌梗死患者心电图出现一过性Ⅰdeg;房室传导阻滞与心梗部位及罪犯血管有关且预后较好。 【关键词】急性心肌梗死 Ⅰdeg;房室传导阻滞 【中图分类号】R54 【文献标识码】A 【文章编号】2095-1752（2014）19-0027-02 Analysis of factors related to temporary first degree atrioventricular block in patients with acute myocardial infarction MA Yun-xia,et al. 【Abstract】 Objective To investigate the relationship between acute myocardial infarction with temporary first degree atrioventricular block and related factors. Methods 80 cases of hospitalized patients with acute myocardial infarction were retrospectively analyzed. Infarct location, the results of coronary angiography with temporary first degree atrioventricular block were observed and compared; the incidence of the risk factors of coronary heart disease, the incidence of shock and heart failure, and the incidence of second degree or third degree atrioventricular block with temporary first degree atrioventricular block (observation group) and those without first degree atrioventricular block (control group) were observed and compared. Results The incidence of the temporary Ⅰ deg; AVB in patients with inferior wall AMI, inferior wall and other parts of the AMI had significant difference (Pgt;0.01); The incidence of the temporary Ⅰ deg; AVB in patients with inferior wall , inferior wall and other parts of the AMI was significantly higher than that in patients with anterior wall AMI (P2lt;0.002, P3lt;0.01); the incidence of the temporary Ⅰ deg;AVB in pat