MSI对急性ST段抬高型心肌梗死短期预后判断的价值分析

承德医学院学报 ›› 2017, Vol. 34 ›› Issue (4): 307-309.

MSI对急性ST段抬高型心肌梗死短期预后判断的价值分析

赵春生¹, 王艳飞¹, 孙海艳², 赵春梅¹, 梁浩¹, 于健¹

1.承德医学院附属医院,河北承德 067000;
2.承德市中医院

收稿日期:2016-11-02 出版日期:2017-08-10 发布日期:2021-11-26

Received:2016-11-02 Online:2017-08-10 Published:2021-11-26

摘要/Abstract

摘要： 目的: 探讨修正休克指数（MSI）对判断急性ST段抬高型心肌梗死（STEMI）7天预后的价值。方法: 就诊于承德医学院附属医院的急性ST段抬高型心肌梗死患者856例,根据MSI值分为MSI≥1.4组（n=258）和MSI<1.4组（n=598）,比较两组患者的一般资料和主要终点事件。结果: 两组患者血压、平均动脉压（MAP）、心率、Killip分级比较差异具有统计学意义（P<0.05）：MSI≥1.4组患者收缩压、舒张压、MAP明显低于MSI<1.4组;MSI≥1.4组患者心率,Killip Ⅲ、Ⅳ级比例明显高于MSI<1.4组。MSI≥1.4组患者主要心脏不良事件（33.7%,87/258）、心源性休克（17.1%,44/258）、致命性心律失常（19.0%,49/258）发生率和全因死亡率（22.9%,59/258）明显高于MSI<1.4组（P<0.05）。结论: MSI是评价急性ST段抬高型心肌梗死患者短期预后简单、有效的指标。

中图分类号:

R541.4

赵春生, 王艳飞, 孙海艳, 赵春梅, 梁浩, 于健. MSI对急性ST段抬高型心肌梗死短期预后判断的价值分析[J]. 承德医学院学报, 2017, 34(4): 307-309.

参考文献

[1] 张秀英,赵冬,王薇,等.2007年至2009年北京市居民急性心肌梗死住院病死率及其分布特征的研究[J].心肺血管病杂志,2012,31(1):1-4.
[2] Lev EI, Kornowski R, Vaknin-Assa H, et al.Comparison of the predictive value of four different risk scores for outcomes of patients with ST-elevation acute myocardial infarction undergoing primary percutaneous coronary intervention[J].Am J Cardiol,2008,102(1):6-11.
[3] Aragam KG,Tamhane UU,Kline-Rogers E,et al.Does simplicity compromise accuracy in ACS risk prediction? A retrospective analysis of the TIMI and GRACE risk scores[J].Plos One,2009, 4(11):e7947.
[4] Granger CB,Goldberg RJ,Dabbous O,et al.Predictors of hospital mortality in the global registry of acute coronary events[J].Arch Intern Med,2003,163(19):2345-2353.
[5] Halkin A,Singh M,Nikolsky E,et al.Prediction of mortality after primary percutaneous coronary intervention for acute myocardial infarction: the CADILLAC risk score[J]. J Am Coll Cardiol, 2005,45(9):1397-1405.
[6] American College of Emergency Physicians,Society for Cardiovascular Angiography and Interventions, O’Gara PT,et al.2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction:a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J].J Am Coll Cardiol,2013,61(4):e78-140.
[7] Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC),Steg PG,James SK,et al.ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation[J].Eur Heart J,2012,33(20):2569-2619.
[8] Allgower M,Burri C.Shock index[J].Dtsch Med Wochenschr,1967,92(43):1947-1950.
[9] Huang B,Yang Y, Zhu J, et al.Usefulness of the admission shock index for predicting short-term outcomes in patients with ST-segment elevation myocardial infarction[J].Am J Cardiol, 2014,114(9):1315-1321.
[10] Spyridopoulos I, Noman A, Ahmed J, et al.Shock-index as a novel predictor of long-term outcome following primary percutaneous coronary intervention[J]. Eur Heart J Acute Cardiovasc Care, 2015,4(3):270-277.
[11] Bilkova D, Motovska Z, Widimsky P, et al.Shock index: a simple clinical parameter for quick mortality risk assessment in acute myocardial infarction[J].Can J Cardiol,2011,27(6): 739-742.
[12] Liu Y, Liu J, Fang ZA, et al.Modified shock index and mortality rate of emergency patients[J]. World J Emerg Med,2012,3(2):114-117.
[13] Singh A,Ali S,Agarwal A,et al.Correlation of shock index andmodified shock index with the outcome of adult trauma patients: a prospective study of 9860 patients[J].N Am J Med Sci 2014,6(9):450-452.