目的 探讨老年女性急性心肌梗死后心力衰竭的临床特点、危险因素，为临床诊治提供参考。方法 回顾性分析北京市顺义区医院心血管内科 2021 年 1-12 月收治的 80 例老年急性心肌梗死患者(＞60 岁)的临床资料，按照性别进行分组后，对比 2 组临床特点:年龄、就诊时间、心功能分级、心肌酶、B型钠尿肽(N terminal pro B type natriuretic peptide，NT-proBNP)、多支病变比例等，并对心肌梗死患者心力衰竭的相关危险因素进行分析。结果 老年女性发病年龄、病程、心梗后心衰发生率，就诊时间高于老年男性(t= 5。235、4。644、8。876、14。755，P＜0。05)，老年女性心功能分级、TnⅠ、NT-proBNP高于老年男性(t= 2。330、16。361，P＜0。05)，老年女性多支病变比例高于老年男性(χ2 = 6。573，P＜0。05)。老年女性急性心肌梗死患者发生心力衰竭的主要危险因素为冠心病家族史、高血压、糖尿病、高脂血症(P＜0。05)。结论 老年女性急性心肌梗死患者发生心力衰竭的危险性高于老年男性，合并冠心病家族史、高血压、糖尿病、高脂血症的患者发生心力衰竭的风险明显增加。
Clinical Characteristics and Risk Factors of Heart Failure in Elderly Female Patients With Acute Myocardial Infarction
Objective To explore the clinical characteristics and risk factors of heart failure in elderly women with acute myocardial infarction,and to provide reference for clinical diagnosis and treatment.Methods The clinical data of 80 elderly patients(>60 years old)with acute myocardial infarction from January 2021 to December 2021 in Beijing Shunyi Hospital were analyzed retrospectively,after grouping according to sex,the clinical characteristics of the two groups were compared.Age,visiting time,heart function grade,myocardial enzyme,N terminal pro B type natriuretic peptide(NT-proBNP),proportion of multi-vessel disease,etc.,the relative risk factors of heart failure in patients with myocardial infarction were analyzed.Results The age of onset,disease duration,and incidence of heart failure after myocardial infarction in elderly women were higher than those in elderly men(t=5.235,4.644,8.876,14.755,P<0.05).The heart function grading,TnⅠ,and NT-proBNP in elderly women were higher than those in elderly men(t=2.330,16.361,P<0.05),and the proportion of multi vessel lesions in elderly women was higher than that in elderly men(χ2=6.573,P<0.05).The main risk factors for heart failure in elderly women with acute myocardial infarction are family history of coronary heart disease,hypertension,diabetes mellitus and hyperlipidemia(P<0.05).Conclusion The risk of heart failure in elderly women with acute myocardial infarction is higher than that in older men,and the risk of heart failure in patients with family history of coronary heart disease,hypertension,diabetes and hyperlipidemia is significantly increased.
myocardial infarctionheart failurerisk factorsclassification of cardiac functionbrain natriuretic peptidemyocardial enzyme
万方数据
维普
