老年冠心病患者并发心房颤动的临床特征及风险因素分析

淡雪川

doi:10.7619/jcmp.201315034

老年冠心病患者并发心房颤动的临床特征及风险因素分析

淡雪川

四川宜宾市第二人民医院南区心内科,四川宜宾,644000

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中图分类号: R541.4
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- 发布日期: 2013-10-15

Clinical characteristics and risk factors of patients with coronary heart and disease atrial fibrillation

DAN Xuechuan

摘要

摘要: 目的分析老年冠心病患者并发心房颤动的临床特征及风险因素.方法回顾性分析2009年1月-2013年1月在本院接受治疗的冠状动脉粥样硬化性心脏病患者的临床资料,共纳入患者87例.依据患者是否并发心房颤动分为房颤组38例,对照组49例,比较2组患者心脏超声检查左室射血分数(EF)、左室舒张末期内径(LVIDd)和左心房内径(LA),以及2组患者冠状动脉造影检查结果及入院时心功能水平(NYHA分级)；分析影响患者并发房颤的危险因素.结果房颤组患者NYHA分级显著高于对照组患者,2组比较差异有统计学意义(2.75±0.85 vs 2.27±0.58; =3.126,P=0.002)；房颤组左心房内径显著高于对照组,差异有统计学意义(4.32±0.52 vs 3.59±0.24;t=8.713,P＜0.001);房颤组左室射血分数显著低于对照组,差异有统计学意义(55.76±12.95 vs 60.35±5.29;t=2.253,P=0.027).2组患者冠状动脉造影检查结果显示:2组患者所累及冠状动脉支数分布比较差异无统计学意义(P＞0.05).Logistic多元回归分析发现,合并糖尿病、高血压病、左心房扩大、年龄超过65岁是老年冠心病患者并发心房颤动的独立风险因素.结论老年冠心病患者并发房颤可导致心功能急剧下降,并发房颤患者左心房内径明显增大,而这与病变累及的范围并无明显联系.合并糖尿病、高血压病、左心房扩大、年龄超过65岁为老年冠心病患者并发心房颤动的独立风险因素.
- 冠状动脉硬化性心脏病 /
- 心房颤动 /
- 危险因素 /
- 心功能
- coronary artery disease /
- atrial fibrillation /
- risk factors /
- cardiac function

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Nordstrom A, Hansson C, Karlstrom L. Larval therapy as a palliative treatment for severe arteriosclerotic gangrene on the feet [J]. Clinical and Experimental Dermatology, 2009(8):e683-e685.

Koppe C, Rodriguez M, Winkler K. Reduction of arteriosclerotic nanoplaque formation and size by n-3 fatty acids in patients after valvular defect operation [J]. FORSCHENDE KOMPLEMENTARMEDIZIN, 2009(4):237.

高阅春, 何继强, 姜腾勇. 冠心病患者冠状动脉病变严重程度与冠心病危险因素的相关分析 [J]. 中国循环杂志, 2012(3):178.doi: 10.3969/j.issn.1000-3614.2012.03.006.

Sun M C, Hsiao P J. In-hospital case management to increase anticoagulation therapy for stroke patients with atrial fibrillation:A hospital-based registry [J]. Journal of the Formosan Medical Association, 2013(5):263.

赵立军, 张春阳, 侯晓峰. 自发性蛛网膜下腔出血致脑积水的治疗体会 [J]. 中华神经外科杂志, 2012, (12):1266.doi: 10.3760/cma.j.issn.1001-2346.2012.12.024.

Zhang Y, Protogerou A D, Iaria P. Prognosis in the hospitalized very elderly:The PROTEGER study [J]. International Journal of Cardiology, 2013.

张庆文, 苗懿德, 康丽萍. 老年高血压并存心房颤动患者左心房内径和血栓前状态研究 [J]. 中华老年医学杂志, 2012(3):182.doi: 10.3760/cma.j.issn.0254-9026.2012.03.002.

宋芳, 王林. 血脂水平对老年冠心病心力衰竭患者预后的影响 [J]. 天津医药, 2012(7):675.doi: 10.3969/j.issn.0253-9896.2012.07.011.

Lauer T, Kleinbongard P, Rath J. L-arginine preferentially dilates stenotic segments of coronary arteries thereby increasing coronary flow [J]. Journal of Internal Medicine, 2008(3):237.

Ertas F, Oylumlu M, Akil M A. Non-valvular atrial fibrillation in the elderly;preliminary results from the National AFTER (Atrial Fibrillation in Turkey:Epidemiologic Registry) Study [J]. European Review for Medical and Pharmacological Sciences, 2013(8):1012.

孟祥武, 唐荣华. 老年脑梗死合并房颤56例 [J]. 中国老年学杂志, 2013(3):648.doi: 10.3969/j.issn.1005-9202.2013.03.067.

Zhang Y Y, Qiu C, Davis P J. Predictors of Progression of Recently Diagnosed Atrial Fibrillation in REgistry on Cardiac Rhythm DisORDers Assessing the Control of Atrial Fibrillation (RecordAF) United States Cohort [J]. American Journal of Cardiology, 2013.

傅德建, 何剑, 张向阳. 非瓣膜性心房颤动血栓形成危险因素的分析 [J]. 中国循环杂志, 2012(4):282.doi: 10.3969/j.issn.1000-3614.2012.04.012.

Providencia R, Barra S, Paiva L. The use of the chronic kidney disease epiderniology collaboration equation and global cardiovascular risk assessment in patients with atrial fibrillation [J]. Cardiology, 2013(4):220.

Ganesan A N, Shipp N J, Brooks A G. Long-term outcomes of catheter ablation of atrial fibrillation:a systemat ic review and meta-analysis [J]. J Am Heart Assoc, 2013(2):e004549.

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文章访问数: 188
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PDF下载量: 5
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老年冠心病患者并发心房颤动的临床特征及风险因素分析

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Clinical characteristics and risk factors of patients with coronary heart and disease atrial fibrillation

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