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应激性心肌病临床特征及远期预后分析 |
戚占如1,2, 徐芳1,2, 陈慧1,2, 姚静1,2, 方爱娟1,2
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1.南京大学医学院附属鼓楼医院超声医学科, 南京 210008;2.南京大学医学院附属鼓楼医院医学影像中心, 南京 210008
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摘要: |
目的 探讨应激性心肌病患者的临床特征、院内并发症及远期预后情况。方法 回顾性分析南京大学医学院附属鼓楼医院 2014 年 1 月至 2022 年 12 月诊断为应激性心肌病患者的临床资料,电话或门诊随访患者生存情况。根据随访结果分为存活组(n=18)和死亡组(n=5),分析两组间的临床特征、院内并发症及预后的差异。结果 25 例患者中,76% 为女性,年龄 38~97 岁,平均(68.6±13.1)岁。7 例(28%)患者入院时出现了心、肺相关并发症。中位随访时间 42个月,随访过程中失访 2 例、死亡 5 例,呈植物人状态 1 例。死亡患者中,在院期间心源性死亡 2 例,另 3 例出院后分别因新型冠状病毒感染、恶性肿瘤及重症感染死亡。死亡组患者年龄及 ST 段抬高总和均高于存活组(P<0.05)。结论 应激性心肌病院内不良心血管事件是其主要并发症,而远期死亡主要原因为其他临床因素。 |
关键词: 应激性心肌病 临床特征 院内并发症 远期预后 |
DOI:10.12025/j.issn.1008-6358.2024.20231329 |
分类号:R 542.2 |
基金项目: |
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Clinical features and prognosis analysis of patients with stress cardiomyopathy |
QI Zhanru1,2, XU Fang1,2, CHEN Hui1,2, YAO Jing1,2, FANG Aijuan1,2
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1.Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China;2.Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China
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Abstract: |
Objective To analyze the clinical characteristics, in-hospital complications, and long-term prognosis of patients with stress cardiomyopathy. Methods The clinical data from patients diagnosed with stress cardiomyopathy in Nanjing Drum Tower Hospital between January 2014 and December 2022 were retrospectively analyzed. Follow-up was performed through telephone interviews or outpatient visits. The patients were divided into the survival group (n=18) and the death group (n=5) based on the follow-up outcomes, and clinical features and prognosis were compared between the two groups. Results Among the patients, 76% were female, 38-97 years old, the average age was (68.6±13.1) years. 7 (28%) patients presented with cardiac and pulmonary-related complications at admission. The median follow-up time was 42 months. During the follow-up period, 2 patients were not available for further follow-up, 5 patients died, and 1 remained in a vegetative state. Of the deaths, 2 occurred during hospitalization caused by cardiac events, while the other 3 deaths occurred after discharge and were associated with COVID-19 infection, malignancy, and severe infection, respectively. Compared to the survival group, patients in the death group had a higher mean age and total ST-segment elevation (P<0.05). Conclusions In-hospital adverse cardiovascular events are primary complications of patients with stress cardiomyopathy. However, the main causes of death in the long term are determined to be other clinical factors. |
Key words: stress cardiomyopathy clinical features in-hospital complications long-term prognosis |