老年高血压合并急性心肌梗死的临床研究

摘要

Objective To explore the clinical features in elderly hypertensives(HT) with acute myocardial infarction( AMI) .Methods A comparative analysis was performed on the clinical data in 82 elderly HT with AMI and 64 elderly non-hypertensives( NHT) with AMI.Results There were statistically significant differences in the pulse pressure, painless myocardial infarction, complications,hospital mortality between two groups(P<0.05).Con-clusion Elderly HT with AMI has the following characteristics:large pulse pressure, high incidence of painless myo-cardial infarction, high incidence of complications such as left ventricular hypertrophy, heart failure, arrhythmia, and high mortality, poor prognosis in the near future.%目的：探讨老年高血压（HT）合并急性心肌梗死（AMI）的临床特点。方法对比分析82例老年HT合并AMI和64例无高血压（ NHT）的老年AMI患者的临床资料。结果两组患者脉压、无痛性心肌梗死、并发症、住院病死率等方面比较差异有统计学意义（P＜0.05）。结论老年HT合并AMI患者脉压差大，无痛性心肌梗死发病率高，左室肥厚、心力衰竭、心律失常并发症发生率高，住院病死率高，近期预后差。