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目的探讨急性非ST段抬高型心肌梗死(心梗)并发心力衰竭(心衰)的临床特点。方法急性非ST段抬高型心梗并发心衰(观察组)和急性ST段抬高型心梗并发心衰(对照组)患者,各45例。观察比较两组的临床特点。结果单因素分析结果显示,急性非ST段抬高型心梗并发心衰这一疾病的产生与患者自身的年龄、性别、高尿酸血症、糖尿病史、高血压病史、心电图的aVR ST段抬高以及ST段下移程度相关(P<0.05)。结论患者的年龄、性别、高尿酸血症、糖尿病史、高血压病史、心电图的aVR ST段抬高以及ST段下移程度是急性非ST段抬高型心梗并发心衰的主要影响原因。
Objective To investigate the clinical features of acute non-ST elevation myocardial infarction (MI) complicated with heart failure (HF). Methods Forty-five patients with acute ST-segment elevation myocardial infarction complicated with heart failure (observation group) and acute ST-segment elevation myocardial infarction (control group) were enrolled. The clinical features of the two groups were observed and compared. Results The results of univariate analysis showed that the incidence of acute non-ST-segment myocardial infarction complicated with heart failure was related to the patient’s age, gender, hyperuricemia, diabetes mellitus, history of hypertension, ECG aVR ST segment elevation High and ST-segment down (P <0.05). Conclusion Age, gender, hyperuricemia, history of diabetes mellitus, history of hypertension, ST elevation in aVR and ST-segment elevation in electrocardiogram are the main reasons for the patients with acute non ST-segment elevation myocardial infarction.