《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (12): 1146-1147.

• 论文 • 上一篇    下一篇

静息心率与不同临床分型冠心病关系的探讨

国希云，贾晓清，赵黎明，李晓英，邓娴，戴华，王曙霞   

  1. 解放军总医院门诊部干部诊疗科，北京市100853。
  • 收稿日期:2012-08-29 修回日期:2012-09-11 出版日期:2012-12-25 发布日期:2012-12-25

Relationship between Resting Heart Rate and Coronary Syndrome

GUO Xi-yun, JIA Xiao-qing, ZHAO Li-ming, et al.   

  1. Department of Senior Cadre Health, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2012-08-29 Revised:2012-09-11 Published:2012-12-25 Online:2012-12-25

PDF (PC)

被引次数

11

摘要： 目的研究静息心率与稳定心绞痛及急性冠脉综合征的关系。方法2009 年7 月~2010 年10 月在本院住院的冠心病患者445 例，分为稳定心绞痛组(S 组，n=268)和急性冠脉综合征组(U 组，n=177)，分析静息心率与冠心病不良心血管事件发生的相关性。结果U组的静息心率明显高于S 组(P<0.01)。Logistic 回归分析显示，校正年龄、舒张压、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、血尿酸、空腹血糖及餐后2 h 血糖等因素后，静息心率(OR=1.052, 95% CI: 1.009~1.097, P=0.017)、收缩压(OR=1.027, 95%CI: 1.003~1.053, P=0.031)和甘油三酯(OR=2.743, 95% CI:1.207~6.233, P=0.016)仍是冠心病的独立危险因素。结论静息心率是急性冠脉综合征的独立危险因素。

关键词: 静息心率, 冠状动脉疾病, 危险因素

Abstract: Objective To investigate the relationship between resting heart rate (RHR) and coronary heart disease (CHD) and to explore the value of RHR in predicting the occurrence of acute coronary syndrome. Methods 445 patients with CHD were divided into stable angina group and acute coronary syndrome group. RHR, risk factors for coronary heart disease and their correlation were analyzed. Results RHR was higher in the acute coronary syndrome group than in the stable angina group (P<0.01). Logistic regression analysis showed that RHR (OR =1.052, 95% CI: 1.009~1.097, P=0.017), systolic blood pressure (OR=1.027, 95% CI: 1.003~1.053, P=0.031) and hyperglycemia (OR=2.743, 95% CI: 1.207~6.233, P=0.016) were independent risk factors for acute coronary syndrome. Conclusion RHR is an independent risk factor for incidence of acute coronary syndrome.

Key words: resting heart rate, coronary artery disease, risk factors