心源性猝死危险因素分析

目的探讨和分析心源性猝的危险因素。方法收集和整理在我院2012年04月-2013年10月诊治时发生心源性猝死的心肌患者64例为研究对象,对上述收集对象的临床资料进行整理和分析。结果本组单因素分析显示自发性持续室速、心室颤动(心脏骤停)、晕阙、左室流出道梗阻、非持续性室速等因素为心肌疾病患者发生心源性猝死的危险因素;多因素Logistic分析发现自发性持续性室速、心室颤动、晕阙以及猝死家族史是发生心源性猝死的重要危险因素。结论心肌疾病患者发生心源性猝死的为危险因素呈现综合化、多样化,临床治疗中应给予针对性的预防或治疗,这对降低心肌疾病患者心源性猝死率有着积极的意义。

Analysis of risk factors for sudden cardiac death

Objective To investigate and analyze the risk factors for sudden cardiac death. Methods Sixty-four patients with cardiomyopathy who suffered sudden cardiac death in our hospital from April 2012 to October 2013 were collected as subjects, and their clinical data were sorted and analyzed. Results The univariate analysis showed that the risk factors for sudden cardiac death in patients with cardiomyopathy included spontaneous sustained ventricular tachycardia, ventricular fibrillation （sudden cardiac arrest）, syncope, left ventricular outflow tract obstruction, and nonsustained ventricular tachycardia. The multivariate logistic analysis showed that spontaneous sustained ventricular tachycardia, ventricular fibrillation, syncope, and a family history of sudden death were important risk factors for sudden cardiac death. Conclusion The risk factors for sudden cardiac death in patients with cardiomyopathy are complicated and diverse, and specific prevention or treatment should be adopted in clinical treatment, which is of great significance for reducing the incidence of sudden cardiac death in patients with cardiomyopathy.