冠心病放置支架后监护期发生心律失常的危险因素分析

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Abstract Objective To analyze the risk factor of arrhythmia with coronary heart disease during guardianship period after placing the stent. Methods Clinical data of 264 patients with placing the stent due to coronary heart disease in Xinhua Hospital Affiliated to Dalian University from January 2013 to June 2015 were analyzed retrospectively. They were classified by different factors to analyze the difference by chi-square test. The factors were analyzed with Logistic regression analysis to get the risk factors that effect arrhythmia to patients with coronary heart disease during guardianship period after placing the stent. Results 73 cases among 264 patients happened arrhythmia during guardianship period after placing the stent and the rate was 27.65%. The result showed arrhythmia ratio in patients with less than 65 years old, preoperative cardiac function grade Ⅰ-Ⅱ, preoperative LVEF was less than 50%, no hypertension, no hyperlipidemia, no diabetes, no COPD, no smoking history, number of stents was one and no cardiopulmonary bypass in the surgery were lower than the ratio of contradictory factors, and the differences all were statistically significant (P < 0.05). Then the multivariate Logistic regression analysis showed that age, preoperative cardiac function grade, LVEF, high blood lipids, COPD and number of stents were independent risk factors of arrhythmia to patients with coronary heart disease during guardianship period after placing the stent (P < 0.05). Conclusion The arrhythmia rate of patients with different age, preoperative cardiac function grade, LVEF, high blood lipids, COPD and number of stents will have differences.

Key words： Coronary heart disease Placing the stent During guardianship Arrhythmia Risk factor

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	LIU Fang ZHANG Yongquan WANG Liping

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LIU Fang ZHANG Yongquan WANG Liping. Risk factor analysis of arrhythmia with coronary heart disease during guardianship period after placing the stent[J]. 中国医药导报, 2017, 14(17): 42-45.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I17/42

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