Clinical characteristics of hypertension associated with acute ST segment elevation myocardial infarction and its effects on short-term prognosis

Abstract

Objective To investigate the clinical features and recent prognosis of hypertensive patients with acute ST segment elevation myocardial infarction. Methods A total of 734 patients with acute ST segment elevation myocardial infarction were selected. According to whether or not to combined hypertension, the patients were divided into hypertension group and control group, 332 cases in hypertension group and 302 cases in control group. The characteristics of demographic indicators, clinical indicators, complications and mortality of patients with hypertension and control group were compared. Results There were statistically significant differences between the two groups in age, smoking, history of hyperlipidemia and family history of hypertension (P<0.05). The rates of heart rate, TG and platelet on admission in the two groups were statistically significant (P<0.05). Left ventricular hypertrophy, post infarction angina, pump failure, arrhythmia, hospitalization days and in-hospital mortality in hypertension group were higher than those in control group. Conclusions The hypertensive patients with acute ST segment elevation myocardial infarction have unique clinical characteristics, and the incidence of ill prognosis is higher. Clinically, patients of hypertension complicated with acute ST segment elevation myocardial infarction should be provided with targeted treatment and prognosis follow-up. Key words: Hypertension; ST segment elevation myocardial infarction; Clinical features; Prognosis