SURVIVAL AFTER RECOVERY FROM ACUTE MYOCARDIAL-INFARCTION - 2 AND 5 YEAR PROGNOSTIC INDEXES

SURVIVAL AFTER RECOVERY FROM ACUTE MYOCARDIAL-INFARCTION - 2 AND 5 YEAR PROGNOSTIC INDEXES
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DOI:
10.1016/0002-9343(79)90062-7
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发表时间:
1979-01-01
影响因子:
5.9
通讯作者:
LURIA, MA
LURIA, MA
中科院分区:
医学2区
文献类型:
--
作者:
LURIA, MH;KNOKE, JD;LURIA, MA

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在105名患者中验证了急性心肌梗死恢复后2年生存的预后指标。5个变量包括:入院时的收缩压水平、心脏监护病房的最高血尿素氮水平、心脏监护病房的房性心律失常、心绞痛持续3个月以上。或既往心肌梗死,出院前恢复期8小时动态心电图每小时记录1次以上的室性异位搏动。患者(126例)被随访5年或5年以上,并报告了5年预后指数。判别分析表明,相同的5个不同权重的变量仍然对预后评估有重要意义,并可用于识别高危和低危患者。
A prognostic index for 2 yr survival after recovery from acute myocardial infarction was verified in 105 patients. Five variables comprise the index: systolic blood pressure level on admission, highest blood urea nitrogen level in the cardiac care unit, atrial arrhythmias in the cardiac care unit, angina pectoris for more than 3 mo. or a previous myocardial infarction, and more than 1 ventricular ectopic beat per hour recorded on an 8 h dynamic ECG during convalescence just prior to hospital discharge. Patients (126) were followed for 5 or more yr and a 5 yr prognostic index is reported. Discriminant analysis indicates that the same 5 variables weighted differently continue to be significant for prognostic assessment and may be utilized in the identification of patients at high and lower risk.