高血压对急性心肌梗死影响的临床分析

目的:分析高血压对急性心肌梗死(AMI)患者的影响。方法:按有无高血压病史将350例AMI患者分为两组:A组154例既往有高血压病史或入院时血压升高;B组196例既往无高血压病史和(或)入院时血压正常。回顾性分析两组在糖尿病、冠心病家族史等AMI的易患因素及冠心病病史,实验室检查,急性心力衰竭(包括心源性休克)、室速室颤、房室传导阻滞等严重心律失常的发生及4周内死亡率的差别。结果:高血压病史组糖尿病、冠心病家族史、陈旧性心肌梗死、心绞痛相关病史的比例均较无高血压病史组高(P<0.05);即时血糖,甘油三酯,胆固醇,低密度脂蛋白的数值高血压病史组较无高血压病史升高(P<0.05);出现心力衰竭包括心源性休克、室速室颤、房室传导阻滞等严重并发症及住院病死率(<4周)均高于无高血压病史组(P<0.05)。结论:合并高血压的AMI患者具有更多的冠心病易患因素,心脏严重并发症较多,预后较差。

The Influence of Hypertension to Patients with Acute Myocardial Infarction

Objective:To investigate the influence of hypertension to patients with acute myocardial infarction(AMI).Meheods:The study was performed in 350 patients who suffered from acute myocaridial infarction.According to hypertension history and admission blood pressure,these patients were divided into two groups.A group of 154 cases the previous history of hypertension or elevated blood pressure on admission;196 cases of group B who had no history of hypertension and(or) blood pressure on admission.To retrospective analyze the difference of diabetes morbility,family history of coronary heart disease,history of coronary heart disease,laboratory examination,including cardiogenic shock,ventricular tachycardia,ventricular fibrillation,atriorentricular block,other serious arrhythmia and mortality of four week.Results:Compared with B group,diabetes morbility,old myocardial infarction,angina pectoris history were increased in A group(P<0.05);Compared with B group,blood glucose,Triglyceride,cholesterol,low density lipoprotein were increased in A group(P<0.05);heart failure including cardiogenic shock,ventricular tachycardia,ventricular fibrillation,atrioventricular block and other serious complications and mortality rate(<4 W) were higher than those without a history of hypertension group(P<0.05).Conclusion:The AMI patient with hypertension are more risky with more severe complications.Hypertension is a deleterious factor for the prognosis in AMI.