急性心肌梗死PCI术后非勺型心率与预后

蒋靖波; 梁芳; 庄燕妮; 古萍; 潘迪光; 沈春莲; 谢淑芸; 谭念念; 李斌

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急性心肌梗死PCI术后非勺型心率与预后

临床研究 | 更新时间：2025-10-15

- 急性心肌梗死PCI术后非勺型心率与预后
- Relationship between non-dipper night rate and prognosis of patients with acute myocardial infarction after PCI
- 临床心电学杂志 2017年26卷第2期页码：100-104
- 作者机构：
  
  桂林市人民医院
- 作者简介：
- 基金信息：
  
  桂林市科技攻关计划（编号:20140207-2-4）
- DOI：
  中图分类号： R542.22
- 纸质出版：2017
- 稿件说明：
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[1]蒋靖波,梁芳,庄燕妮,古萍,潘迪光,沈春莲,谢淑芸,谭念念,李斌.急性心肌梗死PCI术后非勺型心率与预后[J].临床心电学杂志,2017,26(02):100-104.

Jiang jingbo, Liang fang, Zhuang yanni, et al. Relationship between non-dipper night rate and prognosis of patients with acute myocardial infarction after PCI[J]. 2017, 26(2): 100-104.
[1]蒋靖波,梁芳,庄燕妮,古萍,潘迪光,沈春莲,谢淑芸,谭念念,李斌.急性心肌梗死PCI术后非勺型心率与预后[J].临床心电学杂志,2017,26(02):100-104. DOI：

Jiang jingbo, Liang fang, Zhuang yanni, et al. Relationship between non-dipper night rate and prognosis of patients with acute myocardial infarction after PCI[J]. 2017, 26(2): 100-104. DOI：

摘要

目的探讨夜间非勺型心率与急性心肌梗死（AMI）经皮冠状动脉介入治疗（PCI）术后发生不良心脏事件（MACE）的关系。方法根据24h动态心电监测结果将PCI术后的AMI患者分为夜间非勺型心率组（A组）及夜间勺型心率组（B组）。比较两组患者随访期间主要不良心脏事件（MACE）和再次住院率。结果 A组患者的MACE、心源性死亡、靶血管再次血运重建和再次住院率分别为27.4%、8.1%、14.5%、23.4%

均明显高于B组（p<0.05）

但两组的非致死性心肌梗死发生率无显著性差异（4.8%vs 1.2%

p=0.123）。结论夜间非勺型心率有助于早期识别AMI患者PCI术后发生心脏不良事件的高危人群。

Abstract

Objective The study was to access the association between non-dipper night rate and risk of major adverse cardiovascular events(MACE) in acute myocardial infarction(AMI) patients after percutaneous coronary intervention(PCI). Methods By monitoring 24-hour heart rate after PCI

patients with AMI were divided into two groups

non-dipper night rate group(group A) and dipper night rate group(group B). Patients included were prospectively followed-up for MACE for at more than one year. MACE was defined as a composite of cardiac death

nonfatal recurrent myocardial infarction and target vessel revascularization(TVR). The association between non-dipper night rate and risk of MACE and re-hospitalization due to myocardial ischemia or heart failure during follow-up period was assessed. Results The rates of MACE

cardiac death

TVR and re-hospitalization in group A were 27.4%

8.1%

14.5% and 23.4%

respectively

which were significantly higher than those in group B(p<0.05). But there was no significant difference in the incidence of nonfatal myocardial infarction between the two groups(4.8% vs 1.2%

p=0.123). Conclusions Non-dipper night rate was associated with increased risk of MACE and re-hospitalization in AMI patients after PCI.

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references

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