脉压与下壁 ST 段抬高型心肌梗死:调查死亡率、住院主要心血管事件和长期预后。

IF 0.6 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Public Health in Africa Pub Date : 2023-12-01 eCollection Date: 2023-12-27 DOI:10.4081/jphia.2023.2743
Enayatollah Hashemi-Jokandan, Amirreza Khalaji, Ali Abdollahzadeh, Ahmad Separham
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引用次数: 0

摘要

下壁 ST 段抬高型心肌梗死(INF STEMI)病情严重,死亡率高。最好采用经皮冠状动脉介入治疗(PPCI)进行快速治疗。脉压(PP)是两种心血管疾病的已知风险因素,可能是预测这些患者预后的重要指标。本研究旨在评估接受 PPCI 的下位 STEMI 患者的脉压与长期预后、死亡率和主要心血管事件之间的关系。这项横断面研究纳入了确诊为下段 STEMI 并接受了 PPCI 的受试者。研究人员从医院病历中收集了患者数据,并分析了住院期间和一年随访期间 PP 与 MACE 之间的关系。统计分析使用 SPSS 进行。这项对 320 例患者进行的横断面研究发现,DM、DBP 和 Cr 患者的 MACE 发生率更高(P 值 #x003C;0.05)。LVEF 和 SBP 较高的受试者发生 MACE 的次数较少(P 值 #x003C;0.05)。PP≤50的病例在住院期间的死亡率和心衰发生率高于PP>50的病例(P值#x003C;0.05)。不过,两组患者的一年期 MACE 发生率无明显差异。研究发现,增加 DBP、Cr 和 DM 以及降低 LVEF 和 SBP 会影响 MACE 发生率。PP≤50 的下位 STEMI 患者在住院期间的心衰发生率和死亡率更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pulse pressure and inferior wall ST-segment elevation myocardial infarction: investigating mortality, hospital major cardiovascular events, and long-term prognosis.

Inferior Wall ST-Segment Elevation Myocardial Infarction (INF STEMI) is a severe condition with high mortality. Rapid treatment with Primary Percutaneous Coronary Intervention (PPCI) is preferred. Pulse Pressure (PP) is a known risk factor for both cardiovascular disease and may be a valuable predictor of outcomes in these patients. The study aims to evaluate the relationship between PP and long-term prognosis, mortality, and major cardiovascular events after inferior STEMI in cases who underwent PPCI. This cross-sectional study included subjects with a confirmed diagnosis of inferior STEMI who underwent PPCI. Patient data were gathered from hospital records and analyzed for the relationship between PP and MACE during hospitalization and one-year follow-up. Statistical analysis was performed using SPSS. This cross-sectional study of 320 cases found that DM, DBP, and Cr patients had a higher incidence of MACEs (P-value #x003C;0.05). Subjects with higher LVEF and SBP had fewer MACEs (P-value #x003C;0.05). Cases with a PP of ≤50 had a higher mortality and heart failure incidence during hospitalization than those with a PP >50 (P-value #x003C;0.05). However, the two groups had no significant difference in one-year MACE rates. The study found that increasing DBP, Cr, and DM and decreasing LVEF and SBP impacted MACE incidence. PP ≤50 had more heart failure incidence and mortality during hospitalization in patients with inferior STEMI.

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来源期刊
Journal of Public Health in Africa
Journal of Public Health in Africa PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
0.00%
发文量
82
审稿时长
10 weeks
期刊介绍: The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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