[1]童睿,钱华,李博涵,等.接受经皮冠脉介入治疗的急性心肌梗死患者室速/室颤发生率及其影响因素[J].陕西医学杂志,2025,54(10):1349-1354.[doi:DOI:10.3969/j.issn.1000-7377.2025.10.009]
　TONG Rui,QIAN Hua,LI Bohan,et al.Incidence of ventricular tachycardia/ventricular fibrillation in patients with acute myocardial infarction receiving percutaneous coronary intervention and its influencing factors[J].,2025,54(10):1349-1354.[doi:DOI:10.3969/j.issn.1000-7377.2025.10.009]
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接受经皮冠脉介入治疗的急性心肌梗死患者室速/室颤发生率及其影响因素

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
54
期数:
2025年10期
页码:
1349-1354
栏目:
临床研究
出版日期:
2025-10-05

文章信息/Info

Title:
Incidence of ventricular tachycardia/ventricular fibrillation in patients with acute myocardial infarction receiving percutaneous coronary intervention and its influencing factors
作者:
童睿; 钱华; 李博涵; 任阳荷; 任姝凡; 梁彤; 余航
（西安交通大学第一附属医院心血管内科，陕西 西安 710061）
Author(s):
TONG Rui; QIAN Hua; LI Bohan; REN Yanghe; REN Shufan; LIANG Tong; YU Hang
(The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)
关键词:
急性心梗; 经皮冠脉介入治疗; 室性心动过速; 心室颤动; 发生率; 影响因素
Keywords:
Acute myocardial infarction; Percutaneous coronary intervention; Ventricular tachycardia; Ventricular fibrillation; Incidence rate; Influencing factors
分类号:
R 542.4
DOI:
DOI:10.3969/j.issn.1000-7377.2025.10.009
文献标志码:
A
摘要:
目的：探究接受经皮冠状动脉介入治疗（PCI）的急性心梗（AMI）患者室性心动过速（VT）/心室颤动（VF）的发生率及影响因素。方法：纳入1253例接受PCI的AMI患者，分析VT/VF的发生率，比较VT/VF组与非VT/VF组间的临床特征差异，采用单因素及多因素Logistic回归分析探究VT/VF发生的影响因素。结果：VT/VF的发生率为10.06%，相较于非VT/VF组，VT/VF组心率偏高、白细胞计数偏高、收缩压偏低、尿素偏高、白蛋白偏低、谷丙转氨酶偏高、血钾偏低、血钙偏低、空腹血糖偏高、肌酸激酶同工酶偏高、肌酸激酶偏高、N末端前体脑利钠肽（NT-proBNP）偏高、左室射血分数（LVEF）偏低，比较差异具有统计学意义（均P<0.05）。多因素Logistic回归分析显示心率、血钾、LVEF是VT/VF发生的危险因素，调整年龄、性别、吸烟、糖尿病史、高血压病史后，心率（OR=0.987，95%CI：0.974~0.999）、血钾（OR=1.79，95%CI：1.147~2.792）、LVEF（OR=1.045，95%CI：1.016~1.074）仍然是危险因素。结论：在PCI治疗期间的AMI患者发生VT/VF风险的危险因素有心率、血钾及LVEF指标，并建议监测患者生命体征、积极纠正电解质紊乱及改善心功能等措施以减少该类心律失常。
Abstract:
Objective:To analyze the incidence and influencing factors of ventricular tachycardia (VT)/ventricular fibrillation (VF) in patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI).Methods：1253 patients with AMI who underwent PCI were included in the study.The incidence of VT/VF was analyzed,and the difference of clinical features between VT/VF group and non-VT/VF group was compared.Univariate and multivariate logistic regression analysis was used to explore the influencing factors of VT/VF.Results:The incidence of VT/VF was 10.06%.Compared with non-VT/VF group,VT/VF group had higher heart rate,higher white blood cell count,lower systolic blood pressure,higher urea,lower albumin,higher alanine aminotransferase,lower blood potassium,lower blood calcium,higher fasting blood glucose,higher creatine kinase isoenzyme,higher creatine kinase,higher NT-proBNP and lower left ventricular ejection fraction(LVEF),and the differences were statistically significant (P<0.05).Multivariate logistic regression analysis showed that heart rate,blood potassium and LVEF were risk factors for VT/VF.After adjusting for age,sex,smoking,history of diabetes and history of hypertension,heart rate (OR=0.987,95%CI：0.974-0.999) and blood potassium (OR=1.79,95%CI：1.147-2.792),LVEF (OR=1.045,95%CI：1.016-1.074) were still risk factors.Conclusion:The risk factors for VT/VF in patients with AMI during PCI are heart rate,blood potassium,and LVEF,and it is recommended to monitor patients’ vital signs,correct electrolyte disturbance and improve cardiac function to reduce this kind of arrhythmia.

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备注/Memo

备注/Memo:
陕西省自然科学基金资助基础研究计划项目（2021JQ-402）
更新日期/Last Update: 2025-10-09