急性心肌梗死患者急诊介入术后再灌注心律失常的相关因素分析

摘要

Objective:To discuss the characteristics and related factors of reperfusion arrhythmia(RA).Methods:The data of 113 patients with acute myocardial infarction(AMI) who underwent emergency intervention were analyzed retrospectively.The patients were grouped by different infarct related arteries,and the incidence of RA in each group was compared.The patients were grouped by coronary artery time from onset to opening,and the incidence of RA in each group was compared.Results:In 113 patients undergoing e-mergency interventional therapy,54 patients had RI,the incidence of which was 47.79%.The difference of the incidence of RA in dif-ferent infarct related arteries was statistically significant (P<0.05).The difference in the incidence of RA in the opening time of dif-ferent infarct vessels was statistically significant(P<0.05).The group of time <6 h is the highest.Conclusions:The incidence of RA was higher in patients with AMI after intervention,and its incidence is related to the infarct related artery and the time of reperfusion.%目的:探讨再灌注心律失常(reperfusion arrhythmia,RA)的发生特点及相关因素.方法:回顾性分析113例行急诊介入术的急性心肌梗死(acute myocardial infarction,AMI)患者的临床资料,按不同梗死相关动脉分组,比较各组间的RA发生率;按发病至开通冠状动脉时间分组,比较各组间的RA发生率.结果:113例行急诊介入术治疗的患者中54例患者于术后出现了RA,发生率为47.79%;不同梗死相关动脉的RA发生率差异具有统计学意义(P<0.05);不同梗死血管开通时间的RA发生率差异具有统计学意义(P<0.05),时间<6 h组最高.结论:AMI患者介入术后RA的发生率较高,其发生率与梗死相关动脉和再灌注开通时间有关.