Analysis Of Hospitalized Patients With Acute Myocardial Infarction In A 3A Degree Hospital In Qiqihar City

Objectives:The collection of ICU Department of a hospital diagnosed 200 cases of hospitalized patients with acute myocardial infarction(AMI)clinical data in Qigihar city,analysis of local acute myocardial infarction patients with the general situation,treatment and effects,prognosis and risk factors,to control the occurrence and development of AMI,guiding the AMI three specification for prevention and disease monitoring,provide basic data and theoretical the reference and the administrative department of health decision-making.Methods:This research adopts the retrospective analysis of 200 cases of patients with acute myocardial infarction from January 2014 to June 2016 in the Department of ICU in a3A degree hospital in Qigihar,all the cases were collected,age and gender history(i.e.,history of hypertension,diabetes,cerebral infarction),and determination of blood sugar,blood lipid,myocardial enzymes,Troponin T,white blood cells,the level of fibrinogen,electrocardiogram.On admission,on the 1 day and 7 day serum NT-pro BNP levels,cardiac ultrasound monitoring of admission and on the 1 day and 7 days when the left ventricular ejection fraction(LVEF),left ventricular end diastolic diameter(LVED),for a period of 1 years of follow-up for all patients,major adversecardiovascular events(MACE).Results:1.,200 subjects were included in the study,including age 64.13+9.90,blood sugar 7.72+3.13,white blood cell 8.79+2.12,fibrinogen 3.40 3.40,0.79,triglyceride 3.67,3.67,cholesterol,CK,CK-MB,TnT.138 men(69%),62 female(31%);136 people have a history of hypertension(42.6%),64 people without hypertension history(32%);95 people have a history of diabetes(47.50%),without a history of diabetes was 105(52.50%);there are patients with cerebral infarction(35people 17.50%),no cerebral infarction history of 165 people(82.50%);PCI group of120 people(60%),without PCI was the 80 people(40%).2.Analysis of the main clinical indexes of the patients during hospitalization The two sets of data were compared.In NT-pro BNP(F=25.342,P<0.001),LVEF(F=8.465,P=0.005),LVED(F=8.156,P=0.005)level,there was statistical difference between the two groups.And there was a statistically significant difference between the two groups at NT-pro BNP,1 days,NT-pro BNP,7 days,NT-pro days,1 days,1days,7 days,and 7 days.There was no statistical difference between the two groups(P>0.05)at the level of LVEF at immediate admission,immediate admission to hospital,and 1 days of admission to the hospital at 1 days.The electrocardiogram indexes of the two groups were compared,and there was no statistical difference between the two groups in the ECG elevation lead number and the ECG elevation lead sum(P>0.05).Comparison of two groups of patients with adverse cardiovascular events,with statistically significant difference between the two groups(c~2=3.653,P=0.032).3.With the dependent variable of adverse cardiovascular events,age,gender,hypertension,diabetes,cerebral infarction,fasting blood glucose,white blood cells,fibrinogen,triglyceride,cholesterol,creatine kinase,ECG elevation lead number,ECG elevation lead sum,on the 7 day NT-pro BNP,the 7 day of admission,admission LVEF 7 days LVED as independent variables,all the data were analyzed by single factor regression analysis showed that history of diabetes,the number of leads ECG,ECG elevation elevation,lead and age,fasting blood glucose,creatine kinase,creatine kinase isoenzyme,NT-pro BNP on the 7 day of admission,7 days LVEF and 7 days after admission of LVED and major adversecardiovascular events are related,and with statistical significance(P<0.05).Single factor analysis showed significant variables further stepwise multivariate Logistic regression,results showed that diabetes mellitus(OR=359.738),ECG elevation lead sum(OR=3.866),on the 7 day of NT-pro BNP(OR=1.005)and the 7 day of admission LVED(OR=2.172)is a risk factor for adverse cardiovascular events occurred(P<0.05).Conclusion:1.In this study,the number of male patients is more than that of women,and the age of onset is low.Most of them are associated with hypertension,hyperlipidemia,diabetes and history of brain death.2.PCI treatment in acute myocardial infarction can reduce the level of NT-pro BNP and LVED,improve the level of LVEF and reduce the incidence of adverse cardiovascular events.3.diabetes,ECG elevation lead sum,7 days of admission NT-pro BNP and 7days of admission LVED is an independent risk factor for the prognosis of acute myocardial infarction,and has a high predictive value for the occurrence of adverse cardiovascular events within 1 years.