| 摘要: |
| ［摘要］ 目的 探讨老年高血压（HT）合并急性心肌梗死（AMI）的临床特点。方法 对比分析82例老年HT合并AMI和64例无高血压（NHT）的老年AMI患者的临床资料。结果 两组患者脉压、无痛性心肌梗死、并发症、住院病死率等方面比较差异有统计学意义（P<0.05）。结论 老年HT合并AMI患者脉压差大，无痛性心肌梗死发病率高，左室肥厚、心力衰竭、心律失常并发症发生率高，住院病死率高，近期预后差。 |
| 关键词: 急性心肌梗死 高血压 老年人 临床特点 |
| DOI：10.3969/j.issn.1674-3806.2015.02.10 |
| 分类号:R 542.2+2 |
| 基金项目: |
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| Clinical study of elderly hypertensives with acute myocardial infarction |
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WANG Min-chen
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Department of Cardiology, the Third People′s Hospital of Xintai City, Shangdong 271212, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical features in elderly hypertensives(HT) with acute myocardial infarction(AMI).Methods A comparative analysis was performed on the clinical data in 82 elderly HT with AMI and 64 elderly non-hypertensives(NHT) with AMI.Results There were statistically significant differences in the pulse pressure, painless myocardial infarction, complications,hospital mortality between two groups(P<0.05).Conclusion Elderly HT with AMI has the following characteristics:large pulse pressure, high incidence of painless myocardial infarction, high incidence of complications such as left ventricular hypertrophy, heart failure, arrhythmia, and high mortality, poor prognosis in the near future. |
| Key words: Acute myocardial infarction Hypertension The elderly Clinical features |
