Study on risk factors of middle aged and elderly patients with recurrent myocardial infarction
Abstract：Obj ective:To probe into the risk factors of elderly patients with recurrent myocardial infarction (RMI).Methods:A total of 42 mid-dle age and elderly inpatients in Kailuan general hospital were selected as observation group who were diagnosed as RAMI (aged up 40 years old)from June in 2011 to June in 2013 by using retrospective case con-trol method.According to the principle including same sex,age±2 years and 1:2 matching,a total of 84 cases of first myocardial infarction pa-tients were randomly selected as AMI group who were diagnosed and hospitalized at the same period,then to record age,sex,medical history, family history,hospitalizations and other indicators.Results:In RAMI group,the patients had increasing trend in age,heart rate,SBP,DBP, BMI,TC,FBG and proportion of smokers,proportion of Ⅲ AVB,but TG,hs CRP,LDL and ej ection fraction were lower.The advanced age, heart rate,BMI,hypertension,diabetes and smoking were the risk fac-tors for the RAMI,and the OR value was respectively 1.107,1.107,1. 107,1.603,1.61 and 1.227.Conclusion:For first acute myocardial in-farction patients,only with intervention of hypertension,aggressive treatment of high cholesterol,control of blood sugar levels,quiting smoking and alcohol,and weight control,it can further reduce the inci-dence of recurrent myocardial infarction.
Keywords：recurrent myocardial infarctionmiddle aged and elderlyrisk factor
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 2522-2524 )