Influencing Factors of Cognitive Dysfunction in Patients with Acute Myocardial Infarction
Wu Yonghui
Shi Zhe
Ren Fengxue
Abstract：Objective To study the influencing factors of cognitive dysfunction in patients with acute myocardial infarction(AMI).Meth-ods Four hundreds and twenty patients with AMI were selected from February 2010 to January 2014 in Department of cardiovascu-lar medicine in Aviation General Hospital.The clinical data were col ected.The cognitive function in patients with depression was as-sessed by the Montreal Cognitive Assessment(MoCA).The risk factors of cognitive dysfunction were analysed by multivariate Logistic regression method.Results There was significant difference in age,smoking,atrial fibril ation,anemia,impaired fasting glucose,im-paired glucose tolerance,diabetes,systolic blood pressure between the cognitive dysfunction group and cognitive control group(P<0.05).The multivariate Logistic regression analysis showed that age,atrial fibril ation,diabetes,systolic blood pressure,HDL C and depression were independent risk factors of cognitive dysfunction in patients with AMI(P<0.05).Extensive anteriord and right ven-tricular infarction in patients with cognitive dysfunction was closely related (P<0.05).Conclusion The patients with AMI had a high-er incidence of cognitive dysfunction.Patients with the key parts infarction or complicated with atrial fibril ation,hypertension,iabetes should strengthen attention.We should emphasis on the psychological counseling and treatment,al eviate depression,and contribute to the early detection and intervention of cognitive dysfunction.
Keywords：acute myocardial infarctioncognitive dysfunctionrisk factor
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 725-727 )