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Clinical characteristics of patients of ankylosing spondylitis complicated with acute myocardial infarction

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Author:: No author available

Journal Title:: China Medicine

Issue:: 2

DOI:: 10.3760/j.issn.1673-4777.2023.02.021

Key Word:: 强直性脊柱炎;急性心肌梗死;Gensini评分

Abstract：目的分析强直性脊柱炎(AS)合并急性心肌梗死(AMI)患者的临床特点.方法回顾性选取2002 年1 月至2022 年4 月于首都医科大学附属北京安贞医院住院治疗的38 例AS合并AMI患者作为观察组,另选取同期住院治疗的38 例单纯AMI患者作为对照组.比较2 组一般资料、Gensini评分、实验室检查指标、心电图及超声心动图指标.结果观察组 AMI发病年龄明显小于对照组[(50±10)岁比(65±9)岁](P<0.05),2 组男性、吸烟史、糖尿病、高血压病、高脂血症、脑卒中史比例及Gensini评分比较,差异均无统计学意义(均P>0.05).观察组C反应蛋白水平明显高于对照组[(5.2±2.8)mg/L比(4.7±3.4)mg/L](P<0.05),2 组白细胞计数、血红蛋白、血小板计数、白蛋白、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇及B型脑钠肽水平比较,差异均无统计学意义(均P>0.05).观察组左心室舒张末期内径明显小于对照组(P<0.05).2 组心率、PR间期、QRS时限、QTc间期、主动脉根部内径、室间隔厚度、右心室前后径及左心室射血分数比较,差异均无统计学意义(均P>0.05).结论与单纯AMI患者相比,AS合并AMI患者AMI发病年龄更小、炎症反应程度更高.

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