Influencing factors of heart failure with preserved ejection fraction in elderly patients with first-spisode acute myocardial infarction after PCI
Objective:To analyze influencing factors of heart failure with preserved ejection fraction(HFpEF)in elderly patients with first-episode acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:A cross-sectional study was conducted on 98 elderly patients with first-episode acute myocardial infarction who underwent PCI in this hospital from May 2021 to April 2023.The occurrence of HFpEF in these elderly patients was statistically analyzed.Logistic regression was used to analyze the influencing factors of HFpEF in the elderly patients with first-episode acute myocardial infarction after PCI.Results:There were 31 cases of HFpEF in the 98 elderly patients with first-episode acute myocardial infarction after PCI,with an incidence of 31.63%(31/98),which were set as the occurrence group,and the rest were set as the non-occurrence group(n = 67).The proportions of the patients of female,age≥65 years,myocardial infarction type STEMI,previous stroke history,combined diabetes mellitus,smoking history,number of vascular lesions as multiple vessel disease(MVD),uric acid(UA)>420 μmol/L,N-terminal pro-brain natriuretic peptide(NT-proBNP)>900 pg/mL in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that female,age≥65 years,combined diabetes mellitus,number of vascular lesions as MVD,UA>420 μmol/L,NT-proBNP>900 pg/mL were all risk factors for HFpEF in the elderly patients with first-episode acute myocardial infarction after PCI(OR>1,P<0.05).Conclusions:Age≥65 years,combined diabetes mellitus,number of vascular lesions as MVD,UA>420 μmol/L,NT-proBNP>900 pg/mL were all risk factors for HFpEF in the elderly patients with first-episode acute myocardial infarction after PCI.
NETL
NSTL
万方数据
维普
