何金玲 姜述斌

    【摘要】 急性心肌梗死(acute myocardial infarction，AMI)后心室重构与心力衰竭(heart failure，HF)发生及疾病预后密切相关。心室重构过程开始迅速，通常在梗死后的最初几个小时内发生，并继续进展。即使是成功接受直接经皮冠状动脉介入治疗(primary percutaneous coronary intervention，PCI)后的患者，发生心室重构的比例依旧偏高。因此，早期降低危险因素并针对高危患者行有效的防治策略，进行早期干预和密切随访成为目前研究的热点之一。本篇文章介绍的是AMI后心室重构危险因素的研究进展。

    【关键词】 心肌梗死 心室重构 危险因素

    Research Progress on Risk Factors of Ventricular Remodeling after Acute Myocardial Infarction/HE Jinling， JIANG Shubin. //Medical Innovation of China， 2024， 21(03)： -188

    [Abstract] Ventricular remodeling after acute myocardial infarction (AMI) is closely related to the occurrence and prognosis of heart failure (HF). The ventricular remodeling process begins rapidly， usually within the first few hours after infarction， and continues to progress. Even in patients who have successfully received primary percutaneous coronary intervention (PCI)， the proportion of ventricular remodeling is still relatively high. Therefore， early reduction of risk factors and effective prevention and treatment strategies for high-risk patients for early intervention and close follow-up have become one of the hotspots of current research. This article introduces the research progress of risk factors for ventricular remodeling after AMI. ......