急性心肌梗死新出现的束支传导阻滞与30天全因死亡率的关系
Relation of New Bundle Branch Block on 30-day Mortality in Acute Myocardial Infarction

程澜.急性心肌梗死新出现的束支传导阻滞与30天全因死亡率的关系[J].内科急危重症杂志,2016,22(6):

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英文关键词:acute myocardial infarction, bundle branch block, 30-day all cause mortality

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作者	单位	E-mail
程澜	武汉亚洲心脏病医院	471907791@qq.com

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中文摘要:

【摘要】目的：这篇文章的目的是为了探索急性心肌梗死的患者，心电图上出现束支传导阻滞的时间和持续时间与其30天全因死亡率之间的关系。方法：从2015年01月至2015年12月，我们共收集了1000例急性心肌梗死的患者，使用多元回归的方法分析了其30天全因死亡率与束支传导阻滞出现时间和持续时间之间的关系。结果：和右束支阻滞比较起来，左束支阻滞有更高的共病患病率和死亡率。暂时性束支传导阻滞30天全因死亡率更低。结论：急性心肌梗死的患者，新出现的永久性束支传导阻滞是30天全因死亡率的独立危险因素。

英文摘要:

【Abstract】Objective: The aim of this study was to investigate the 30-day all cause mortality associated with bundle branch block(BBB) depending on time of appearance and duration in patients with myocardial infarction (MI). Methods: From January 2015 to December2015, we recruited 1000 patients with acute MI. Thirty-day all-cause mortality, according to BBB time of appearance and duration was analyzed by multivariable analyses. Results: Compared with RBBB, patients with LBBB had a higher prevalence of co-morbidities and a higher mortality, New transient BBB had lower 30-day mortality compared with permanent in both locations. Conclusions: in patients with acute MI, the appearance of a new permanent BBB was independently associated with a higher 30-day all-cause mortality.