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对91例OMI患者的预后通过VLP、Holter和心功能进行了前瞻性研究。结果显示,VLP阳性组的心功能异常和短阵室速的发生率显著高于VLP阴性组(P<0.001和P<0.005),事件组的VLP阳性率显著高于非事件组(P<0.0001),经Logistic逐步回归分析显示,VLP、短阵室速和心功异常均对事件有独立的预测价值,以VLP的预测价值最大(β=2.41),危险度为11.8。将三项指标综合后可明显提高预测价值。若患者三项指标均异常,发生事件的可能性达59.27%。
The prognosis of 91 OMI patients was prospectively studied by VLP, Holter and cardiac function. The results showed that the VLP positive group of cardiac dysfunction and incidence of ventricular tachycardia was significantly higher than the VLP negative group (P <0.001 and P <0.005), the event group VLP positive rate was significantly higher than the non-event group (P <0.0001). Logistic stepwise regression analysis showed that VLP, TSV and cardiac dysfunction both had independent predictive value for event, with the highest predictive value of VLP (β = 2.41), risk Is 11.8. The combination of three indicators can significantly improve the predictive value. If the patient’s three indicators are abnormal, the probability of occurrence of the incident reached 59.27%.