Clinical features and risk factors of acute myocardial infarction complicated by heart failure
Ma Luwei
Gao Huiying
Yang Ningning
Yan Suhua
Abstract：Objective To discuss the clinical features and risk factors of acute myocardial infarction(AMI)complicated by heart failure(HF).Methods AMI patients(n=222)were chosen and divided,according to complicated HF status,into HF group(n=97)and control group(n=125)from Provincial Hospital of Shandong Province affiliated to Shandong First Medical University from June 2021 to June 2024.The clinical materials were collected in 2 groups,and clinical features of AMI complicated by HF were compare and analyzed.The risk factors of AMI complicated by HF were analyzed by using multi-factor Logistic regression model.Results The differences in age,gender,diabetes,atrial fibrillation(AF),hemoglobin(Hb),creatinine(Cr),cardiac troponin,D-dimer(D-D)and Gensini scores had statistical significance between 2 groups(P＜0.05).The differences in hypertension,platelet count(PLT)and cholesterol level had no statistical significance between 2 groups(P＞0.05).The results of single-factor analysis showed that the differences in gender,age,systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),brain natriuretic peptide(BNP),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction(LVEF)and therapies had statistical significance between 2 groups(P＜0.05).The differences in body mass index(BMI),history of smoking and drinking,past medical history,cardiac troponin I(cTnl)and number of diseased vessels had no statistical significance between 2 groups(P＞0.05).The results of multi-factor non-conditional Logistic regression analysis showed that gender,age,SBP,DBP,HR,BNP,LVEDD,LVESD,LVEF and therapies were independent risk factors in patients with AMI complicated by HF(P＜0.05).Conclusion There are many risk factors for AMI complicated by HF,and timely treatment should be targeted at these risk factors to improve quality of life in the patients.
Keywords：Acute myocardial infarctionHeart failureRisk factorsClinical features
Publication Date：2024-11-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1388-1390 )