Analysis of Risk Factors for High Risk Ventricular Arrhythmia in Patients with Acute ST Segment Elevated ;Myocardial Infarction
- VernacularTitle:急性 ST 段抬高型心肌梗死患者发生高危室性心律失常的相关危险因素分析
- Author:
Ziqing YU A
1
;
Juan PENG
;
Bing FAN
Author Information
1. 复旦大学附属中山医院心内科
- Keywords:
Coronary atherosclerotic heart disease;
Acute ST segment elevated myocardial infarction;
High risk ventric-ular arrhythmia
- From:
Chinese Journal of Clinical Medicine
2015;(4):486-490
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors for high risk ventricular arrhythmia by analyzing the admission indexes of pa-tients with acute ST-segment elevated myocardial infarction(ASTEMI).Methods:The 190 patients undergoing emergency per-cutaneous coronary intervention were divided into event group(n=89)and non-event group(n=101)according to the occurrence of high risk ventricular arrhythmia.The indicators brought into analysis included gender,age,hypertension,diabetes,dura-tion of ischemic chest pain,infarction area involved ventricular wall,involvement of blood vessels,number of involved vessels (including 1 ,2,3 branch lesion),left ventricular ejection fraction(LVEF)recorded by echocardiography,blood glucose level on admission,glycosylated hemoglobin(HbA1 C),glycated albumin(GLA),blood electrolytes(sodium,potassium,chloride),se-rum creatinine (SCr),troponin(cTnT),creatine kinase isoenzyme(CK-MB),C-reactive protein(CRP),and anemia.χ2 test were carried out with software SPSS 19.0.Results:Factors including hypertension,diabetes,gender,age,HbA1 C,and num-bers of involved vessels were not related to occurrence of high risk ventricular arrhythmia,while blood potassium,GLA,CRP, cTnT,LVEF,involved wall and anemia were correlated to occurrence of high risk ventricular arrhythmia events.Conclusions:Serum potassium concentration less than 3.5 mmol/L,blood sugar more than 8 mmol/L,proportion of GLA more than 16%, CRP more than 10 mg/L,cTnT more than 5 ng/mL,LVEF less than 55%,and involvement of anterior wall are the risk fac-tors for high risk ventricular arrhythmia in ASTEMI patients at the early stage of admission.
