TITLE

血小板平均体积与老年急性ST段抬高型心肌梗死患者并发心力衰竭的 相关性分析

AUTHOR(S)
吴雨径; 於四军; 丁鹏; 白睿; 王磊; 刘惠亮
PUB. DATE
June 2016
SOURCE
Progress in Modern Biomedicine;Jun2016, Vol. 16 Issue 18, p3558
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To investigate the relationship between mean platelet volume(MPV) and in-hospital heart failure(HF) of the elderly patients with acute ST-segment elevation myocardial infarction(STEMI). Methods: 172 cases of elderly patients with STEMI were sleeted as research subjects. All cases were divided into two groups: HF group(n = 55cases) and non-HF group(n =117), and all cases were also divided into four groups according to quartile. The differences of observation index between each group were compared,and the relationship between mean platelet volume(MPV) and in-hospital heart failure were analyzed by Logistic regression analysis.Results: There were statistical differences in smoking, onset to admission time, anterior wall infarction, serum BNP, c Tn I, LVEF, MVP between HF and non-HF group(P<0.05). The MVP level of HF group was higher than that of non-HF group(P<0.05). There were also statistical differences in LVEF, serum BNP and incidence of HF among the MVP quarterback groups(P<0.05). The HF incidence of Q4 group was higher than that of Q1 and Q2 group(P<0.05). Multivariable Logistic regression equation analysis showed high level of MPV was independent risk factor for in-hospital heart failure of the elderly patients with STEMI. The risk of in-hospital HF increased from Q1 to Q4 group, and the risk of Q3 and Q4 group had statistically significant difference(P<0.05). Conclusion: High level of MPV is closely related to in-hospital heart failure of the elderly patients with STEMI, and it may be independent risk factor for it. Clinicians should pay much attention to MPV
ACCESSION #
118031486

 

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