OPT-CAD評分和GRACE評分對急性ST段抬高型心肌梗死患者短期預(yù)后的預(yù)測價值分析

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Predictive Value of OPT-CAD Score and GRACE Score on Short-term Prognosis for Patients with AcuteST-segmentElevation Myocardial Infarction

LIRongrong12，LUO Rong12，SHENGJianlong1 （1.Departmentof Cardiology，the Second HospitaofAnhui Medical University，Hefei23O6O1，Anhui，China； 2.Departmentof Cardiology，Jieshou City People's Hospital，Jieshou 2365oo，Anhui，China）

Abstract：ObjectiveToexplorethevalueofOP-CADsoreandGRACEscoreinevaluatingmajoradversecardiovascularevents（MCE）for patientswithcuteteatioyocadialifctioereouoarteeiCossi analysiswasperformedon2OpatientswithTEMIwhounderwentPCinJiesouCityPeople'sHospitalfromJanuary2O19toMay21The baselinedataoftseddOoedGCEeassedTrCE （includingpldodadaalrtdatao countedAccodingtoeangsofthodiiourigospitalatioteaintseredividtCEoup4patintsndCE group（166patients）.ThepredictiveefiecyofOP-CADscoreandGRACEsoreforin-ospitalMACEinSTEMpatientsfterCwas comparedRedei OPT-CAD score were related factors affecting in-hospital MACE（ .Multivariate analysis showed that GRACE score was an independent risk factorforin-hospital MACEinSTEMI patientsafter PCI .ROC curve analysis showed that the area under the GRACE score curve was 0.821 （95%CI： 0.733-0.910），and the area under the OPT-CAD score curve was 0.687（ 9 5 % CI 0.587-0.788），while the GRACE score was superior to the OPT-CAD score in predicting short-term MACE events in STEMI patients after PCI Z = 3 . 2 9 4 P=0 . 0 0 1 ）.Conclusion GRACE score is superior to OPT-CAD score in predicting in-hospital MACE in STEMI patients.

KeyWords：AcuteST-segment elevation myocardial infarction；OPT-CAD score；GRACEscore；Short-termprognosis

急性ST段拾高型心肌梗死（ST-segmenteleva-tionmyocardialinfarction，STEMI）是心血管疾病中最常見的危重癥之一，而風(fēng)險評分是一種指導(dǎo)危重癥患者臨床治療的簡易工具，臨床通常應(yīng)用于識別患者預(yù)后，從而制定更合適的治療方案和監(jiān)測策略]。（剩余8942字）