Related study on acute myocardial infarction complicated with non-thyroidal illness syndrome
10.7619/jcmp.201721007
- VernacularTitle:急性心肌梗死合并非甲状腺病态综合征的相关研究
- Author:
Guangchen DUAN
1
;
Ying REN
;
Gaozhong HUANG
;
Zhigang LU
;
Meng WEI
Author Information
1. 上海交通大学附属第六人民医院
- Keywords:
acute myocardial infarction;
non-thyroidal illness syndrome;
mortality
- From:
Journal of Clinical Medicine in Practice
2017;21(21):25-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of FT3 on the long-term mortality of patients with acute myocardial infarction (AMI) complicated with non-thyroidal illness syndrome (NTIS).Methods A total of 1 809 patients with AMI were divided into NTIS group and normal group.The patients were followed up for 1 to 8.5 years.The multivariate COX regression analysis was used to study the effect of FT3 on long-term all-cause mortality and cardiovascular mortality in AMI patients.Results The incidence rate of NTIS in AMI patients was 21.7％.Compared with the normal control group,the in-hospital mortality,long-term all-cause mortality and long-term cardiovascular mortality in the NTIS group were significantly higher (14.3％ versus 1.8％,23.1％ versus 14.5％,14％ versus 7.6％,P ＜ 0.05).The level of FT3 (HR =0.304,95％ CI:0.134 ～ 0.693,P =0.005) was correlated with long-term all-cause mortality in patients with AMI,and FIT3 level (HR =0.241,95 ％ CI:0.093-0.622,P =0.003) is an independent risk factor for long-term cardiovascular death in patients with AMI.Conclusion NTIS exists in AMI commonly.FT3 level is an independent risk factor for long-term all-cause death and cardiovascular death in patients with AMI.
