1.Clinical features and prognostic risk factor analysis for female patients with acute myocardial infarc-tion
Ning YANG ; Dingran SI ; Huiping SHANG ; Hengliang WANG
Chinese Journal of cardiovascular Rehabilitation Medicine 2015;24(5):522-525
Objective:To analyze the clinical features and prognostic risk factors of female patients with acute myo‐cardial infarction (AMI) .Methods :From Apr 2011 to Oct 2014 ,a total of 97 female AMI patients treated in our hospital were enrolled as female group ,meanwhile 120 male AMI patients were regarded as control group (male group) .All patients received three‐month follow‐up after hospitalization .Baseline data ,clinical features and prog‐nosis were compared between two groups ,and prognostic risk factors of female patients were analyzed at the same time .Results:Compared with male group ,there were significant rise in percentages of cardio‐and cerebrovascular diseases ,diabetes mellitus and hyperlipidemia ,and significant reductions in red blood cell count ,hemoglobin level , and percentages of smoking&drinking history , digestive&urinary system diseases in female group , P<0.05 or <0.01. Compared with male group , there were significant rise in percentages of Killip class Ⅳ (14.17% vs . 24.74% ) ,three‐vessel coronary disease (3.33% vs . 12.37% ) , therapeutic rate of reperfusion (51.67% vs . 73.20% ) ,mortality (2.50% vs .9.28% ) and incidence of complications (19.17% vs .31.96% ) in female group ,P<0.05 all .Logistic analysis of regression showed that age ,previous cardio‐ and cerebrovascular diseases ,diabetes mellitus ,hyperlipidemia ,Killip cardiac function class and number of diseased coronary vessels were significantly cor‐related with prognosis (OR=0.176~4.931 , P<0.05 all) .Conclusion:Prognosis of female AMI patients is poorer than that of males .Prognosis is related to age ,cardio‐ and cerebrovascular diseases ,diabetes mellitus ,hyperlipi‐demia ,Killip cardiac function class ,and number of diseased coronary vessels .
2.Diagnostic value and clinical significance of cardiac remote monitoring system in arrhythmia
Ning YANG ; Fuxian REN ; Dingran SI ; Huiping SHANG
China Modern Doctor 2015;(15):93-95,98
Objective To explore the clinical effects of cardiac remote monitoring system in diagnosing arrhythmia. Methods All 410 patients with arrhythmia who were admitted and treated in our hospital from October 2010 to July 2013 were selected as research subjects. All patients were examined by routine 12 leads ECG,followed by cardiac re-mote monitoring system. Positive rates of the two examinations in the diagnosis of arrhythmia were compared and ana-lyzed. Results In 1d, 2d and 3d, positive rates of cardiac remote monitoring system in the diagnosis of sinus arrhyth-mia, atrial arrhythmia, atrioventricular junction arrhythmia, ventricular arrhythmia and heart block gradually in creased,and the differences of positive rates of the same disease in different days were statistically significant(P<0.05). Positive rates of cardiac remote monitoring system in the diagnosis of the above diseases in 1d were all significantly higher than those of routine 12 leads ECG, and the differences compared between the two methods were statistically significant (P<0.05). Conclusion Sensitivity of cardiac remote monitoring system in the diagnosis of arrhythmia is higher than that of routine 12 leads ECG. The system is able to reduce the rate of missed diagnosis of arrhythmia and is of great clinical value in reducing the rate of missed diagnosis of arrhythmia, which is worthy of clinical promotion and application.