老年急性心肌梗死患者左心室几何构型与PCI术后不良结局的相关性分析

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[Abstract]Objective：Toanalyze thecorrelationbetweentheleftventriculargeometryinechocardiographyandadverse outcomesinelderlypatientswithacute ST-segmentelevationmyocardialinfarction（STEMI）whounderwentpercutaneous coronaryintervention（PCI）.Methods：Aretrospectiveanalysiswasconductedontheclinicaldata45Opatientswhowere withSTEMIandtreatedwithPCI.Basedontheoccurrenceadverseoutcomeeventsduring follow-up，45Opatientswere divided intoanadverse prognosisgroup（81cases）andagoodprognosisgroup（369cases）.Clinicalbaselinedata，culprit vesselcharacteristics，leftventriculargeometry，anddischargemedicationinformationwerecomparedbetweenthetwogroups. Logisticregresionanalysiswasperformedtoidentifyriskfactorsforadversepost-PCIoutcomes.Results：Therewere significantdiferencesin，theproortionpetesiondiabetes，uriccid，ttalolesterolow-desityootein cholesterol，and left ventricular geometry between the two groups （all P <0.05）．After adjusting for confounding factors，the multivariatelogisticregresionanalysisrevealedthattheecentrichypertrophywasanindependentriskfactorforadverse post-PCI outcomesinelderlySTEMIpatients（OR=2.379，95%CI1.170-4.839，P=0.017）.Conclusion：Ecentrichypertophyis anindependent predictive indicator adverseoutcomeswithinoneyear forelderly STEMI patientsundergoing PCI.

[KeyWords]Myocardialinfarction;ercutanouscoronaryinterventiontreatmentEccentrichypertophy;Adverseutcos；ged

冠状动脉粥样硬化性心脏病（冠心病）是全球范围内主要致死原因之一，急性ST段抬高型心肌梗死（ST-segmentelevation myocardial infarction，STEMI）是其临床最严重的表现形式之一。（剩余10448字）