影响急性心肌梗死 PCI 术后患者心功能的危险因素分析.

王 敏; 崔春利; 刘世军; 邹俊波; 刘亚荣

Objective To investigate the relationship between cardiac function and risk factors in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). Methods We recruited 61 patients who underwent PCI during the emergency window of AMI in our hospital. They were divided into 4 grades according to their cardiac function by Killip grading method, and the factors affecting the prognosis of their cardiac function were comprehensively analyzed and compared by using R Language 3.4.3 software and SPSS 17.0 software. Results There were more women with Grade 4 cardiac function, with an average age of (72.27+9.62) years, which was significantly higher than that with Grades 1 and 3 (P <0.05). Serum brain natriuretic peptide level in patients with Grades 3 and 4 cardiac function was significantly higher than in those with Grades 1 and 2 cardiac function (P<0.05). Homocysteine and troponin T levels were significantly higher in patients with Grade 4 cardiac function than those with Grades 1, 2 and 3 (P <0.05). White blood cell count in patients with Grade 3 cardiac function was significantly higher than those with Grades 1 and 2 (P <0.05). Grade 4 cardiac function patients had multiple forearm or myocardial infarction in the forearm, while patients with Grades 1, 2, and 3 had the condition in a single inferior wall and forearm. Thermography analysis showed that serum brain natriuretic peptide level was an important cardiac function factor for AMI patients, and the accuracy of the decision tree analysis model was as high as 93.44%. Conclusion The risk factors affecting cardiac function in AMI patients afterPCI surgery are advanced age, gender, infarct location, blood glucose level at admission, serum brain natriuretic peptide level, white blood cell count, serum creatinine, troponin T, C-reactive protein, C-reactive protein, and serum homocysteine, which are closely related to the dassification of cardiac function in AMI patients. Among them, gender, age, serum brain natriuretic peptide and cardiac troponin are important independent risk factors with clinical significance in guiding objective evaluation of patients' cardiac function.

Journal of Xi'an Jiaotong University (Medical Sciences), 2018, Vol 39, Issue 6, p871

1671-8259

Academic Journal

10.7652/jdyxb201806019