Abstract：Objective To explore the clinical characteristics of ST segment elevation in elderly patients with acute myocarditis and provide reference for clinical diagnosis and treatment. Methods A retrospective analysis was performed on 87 elderly patients with acute myocarditis treated in our hospital. Patients with ST segment elevation were included in group A, while patients with non-ST segment elevation were included in group B. The clinical characteristics of ST segment elevation, including treatment, outcome, laboratory and auxiliary examinations were analyzed. The incidence of cardiac events such as cardiogenic shock, ventricular fibrillation and death were counted. Results The rate of ventilator application in group A was significantly higher than that in group B(P<005). The incidence of temporary pacemaker, CRRT, IABP and ECMO treatment in group A were slightly higher than that in group B, and there was no statistical difference（all P＞0.05）. The levels of myocardial injury markers such as CK peak value, CKMB peak value, and Tn I peak value in group A were significantly higher than that in group B (all P<0.05). Cardiac adverse events in group A occurred. The rate was 20.8%, which was significantly higher than 2.5% in group B, and the difference was statistically significant (P<0.05). Conclusion ST-segment elevation in elderly patients with acute myocarditis is characterized by acute onset, severe illness, and rapid progress, and the risk of cardiac adverse events such as ventricular fibrillation is greater. Therefore, clinicians should attach great importance to STsegment elevation in elderly patients with acute myocarditis and provide timely targeted treatment.
王莉,徐敏芝,伍勇. 老年急性心肌炎ST段抬高患者的临床特点[J]. 实用心电学杂志, 2020, 29(1): 13-15.
Wang Li，Xu Minzhi，Wu Yong. Clinical characteristics of ST segment elevation in elderly patients with acute myocarditis. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2020, 29(1): 13-15.
