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目的对老年急性心肌梗死患者梗死早期恶性室性心律失常(MVP)的危险因素进行分析。方法 210例老年急性心肌梗死的患者,对患者的年龄、血钾、心肌型肌酸激酶同工酶(CK-MB)、肌钙蛋白I(Tn I)、心功能Killip分级和窦性心搏RR间期的标准差(SDNN)等指标进行收集与分析,并根据上述指标进行相关的Logistic回归分析。结果经分析发现210例患者中有76例患者形成了MVA,并且有13例患者是死于MVA的。结论老年急性心肌梗死患者有较高的可能性引发MVA,并且MVA具有较高的致死率,所以应当对可能引发MVA的因素进行及时的了解及控制。
Objective To analyze the risk factors of early malignant ventricular arrhythmias (MVP) in elderly patients with acute myocardial infarction. Methods A total of 210 elderly patients with acute myocardial infarction were enrolled in this study. Their age, serum potassium, CK-MB, TnI, Killip class of heart function and RR of sinus rhythm Period standard deviation (SDNN) and other indicators were collected and analyzed, and according to the above indicators Logistic regression analysis. Results Analysis found that 76 of 210 patients developed MVA, and 13 patients died of MVA. Conclusion The elderly patients with acute myocardial infarction have a higher probability of triggering MVA, and MVA has a higher lethal rate, so it should be timely for the factors that may trigger MVA to understand and control.