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Abstract Objective To explore the predictive effect of heart rate turbulence(HRT) on longterm prognosis of old myocardial infarction(OMI) patients. Methods A total of 127 OMI patients who had been admitted in our hospital from March 2014 to June 2015 were selected.[JP] According to the range of Nterminal probrain natriuretic peptide(NT-proBNP) value and HRT, they were classified into NT-proBNP＜1 800 ng/L group and NT-proBNP≥1 800 ng/L group, and HRT normal group(TO＜0 and TS＞2.5) and HRT abnormal group[TO≥0 and(or) TS≤2.5]. In the follow-up one year later, the incidences of major adverse cardiovascular events(MACE) were analyzed statistically; the difference and relativity of MACE incidences between HRT normal group and HRT abnormal group, HRT normal group and NT-proBNP＜1 800 ng/L group, and HRT abnormal group and NT-proBNP≥1 800 ng/L group were separately compared. Results The incidences of MACE(except for the rate of sudden death) in HRT abnormal group were all significantly higher than those in HRT normal group, with statistically significant differences. However, neither of the differences of MACE incidences(except for the rate of sudden death) between HRT normal group and NT-proBNP＜1 800 ng/L group, and HRT abnormal group and NT-proBNP≥1 800 ng/L group was statistically significant. Conclusion HRT has some predictive effect on longterm prognosis of OMI patients. The difference of predictive effect between HRT and NT-proBNP is not obvious.
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| [1] Schmidt G, Malik M, Barthel P, et a1. Heartrate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction[J].Lancet,[JP] 1999,353(9162)：1390-1396.[2] Sade E, Aytemir K, Oto A, et a1. Assessment of heart rate turbulence in the acute phase of myocardial infarction for longterm prognosis[J]. Pacing Clin Electrophysiol, 2003, 26(2 Pt 1)：544-550.[3] 张德强, 黄捷英, 方业明, 等. 窦性心率震荡现象对急性心肌梗死后患者死亡预测价值的临床研究[J]. 中华心血管病杂志, 2005, 33(10)：903-906.[4] 郑焕成, 陈铁虎, 司华锋. 窦性心率震荡在急性心肌梗死患者长期预后预测中的价值[J]中华实用诊断与治疗杂志, 2008, 22(9)：687-688.[5] 柳丽珍. 窦性心率震荡对急性心肌梗死患者预后的预测价值[J]. 中国基层医药, 2013, 20 (23)：3599-3601.[6] 李厚荣, 何娟, 杜国伟, 等. 窦性心率震荡对急性心肌梗死患者心源性死亡的预测价值[J]. 心电与循环, 2012, 31(5)：342-344, 405.[7] 叶金枝. 窦性心率震荡对急性心肌梗死患者心源性死亡的预测价值[J]. 吉林医学, 2015, 36(5)：894-895.[8] 罗玮, 欧红兵, 李国卿, 等. 窦性心率震荡对急性心肌梗死患者的预测价值研究[J]. 中国现代医生, 2013, 51(14)：31-32, 35.[9] 汪红霞, 王瑞英, 王红宇, 等. 心率振荡对急性心肌梗死后高危患者预测价值的研究[J].中华心血管病杂志, 2006, 34(6)：557-558.[10] 刘霞. 室性早搏后窦性心律震荡的临床分析[J]. 实用心电学杂志, 2004, 13(2)：91-92.[11] 林靖宇, 刘军, 吴学青, 等. 陈旧性心肌梗死患者心率震荡与恶性心律失常的关系[J]. 中国临床医学, 2009, 16(2)：277-278. |
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2016, Vol. 25 
