红细胞分布宽度与修正休克指数对ST段抬高型 心肌梗死患者Mace预后的预测价值

doi:10.3969/j.issn.1006-6233.2019.04.041

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Abstract Objective: To explore the predictive value of modified shock index (MSI) and red biood cell distribution width (RDW) to in predicting short-term major cardiac adverse events (Mace) in patients with acute ST elevation myocardial infarction (STEMI). Methods: STEMI patients (n=586) were chosen from the Department of Emergency in the emergency department of our hospital from June 2016 to March 2018 were selected, and general data, blood routine, blood pressure and heart rate were collected, shock index (SI), MSI and RDW were calculated, and were divided into Mace group and non-Mace group. General data, heart rate, blood pressure, RDW,SI and MSI were compared between the two groups. Results: STEMI patients were divided into Mace group (n=132) and non-Mace group (n=454). There were no statistically significant differences in the general data, heart rate, left ventricular ejection fraction (LVEF) and other indicators between the two groups (P>0.05). systolic pressure, diastolic pressure and The difference in systolic blood pressure, diastolic blood pressure, heart rate and Killip class Ⅲ and Ⅳ had statistical significance between two groups (P<0.05). SI, MSI and RDW in the MACE group were significantly higher than those in the non-mace group, and the difference was statistically significant (P<0.01). The incidence of Mace in hospital was 22.52%, including 6.48% (n=38) of all-cause death, and the ROC area under SI, MSI and RDW were 0.701 0.707 and 0.713, respectively, which was of statistical significance in predicting the incidence of Mace in STEMI patients (P<0.001). Conclusion: SI, MSI and RDW may be simple, economical and effective indicators for predicting short-term prognosis of STEMI patients in emergency department.

Key words： Modified shock index Red blood cell distribution width ST-segment elevation myocardial infarction

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2019.04.041 OR http://www.hbyxzzs.cn/EN/Y2019/V25/I4/683

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