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由于急性心肌梗塞的并发症集聚在发病初期,其预防和治疗是冠心监护病房的焦点。然而,这一危险性在这几天后并不中止,而延续至出院后6～12月。所以,应在这一时期识别梗塞后第一年中有死亡或再梗塞高度危险的病人。在住院期间决定病死率的主要因素是梗塞大小,其后的存活与左室功能不全及冠状动脉病变的范围有关。虽然作了较大努力,拟订出临床与实验室指标,以识别有高度危险的病人,但对危险性机制的研究则极少。
As the complications of acute myocardial infarction in the early stages of onset, its prevention and treatment is the focus of coronary care unit. However, the danger did not stop after these few days and continued until June to December after discharge. Therefore, during this period, patients at high risk of death or reinfarction should be identified in the first year after infarction. The major factor in determining mortality during hospitalization is infarct size, with subsequent survival related to the extent of left ventricular dysfunction and coronary artery disease. Although considerable efforts have been made to develop clinical and laboratory indicators to identify patients at high risk, there are few studies on risk mechanisms.