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目的探讨急性心肌梗死(AMI)患者血清脑钠肽(BNP)水平与梗死后左室重构(LVR)及心功能的关系。方法测定21例AMI患者血清BNP水平并同时行超声心动图检查测量左室舒张末期、收缩末期内径(INDd、LVDs)、左室舒张末期、收缩末期容积(LVEDV、LVESV)及左室射血分数(LVEF)。结果21例AMI患者血清BNP水平显著升高,在LVR升高更为显著(P〈0.01)且BNP水平与LVDd、LVEDV、LVESV显著呈正相关(r=0.44,0.48,0.62;P〈0.05。0.05,0.01)与LVE