2024 年第 2 期 第 19 卷

急性冠状动脉综合征导致心脏骤停的预警因素研究进展

Research progress on early warning factors of cardiac arrest caused by acute coronary syndrome

作者：江树青李昕杨建中

英文作者：Jiang Shuqing Li Xin Yang Jianzhong

单位：新疆医科大学第一附属医院急诊科，乌鲁木齐830011

英文单位：Department of Emergency the First Affiliated Hospital of Xinjiang Medical University Urumqi 830011 China

关键词：急性冠状动脉综合征；心脏骤停；不良预后；预警因素

英文关键词：Acutecoronarysyndrome;Cardiacarrest;Adverseprognosis;Earlywarningfactors

• 摘要：

• 急性冠状动脉综合征（ACS）的发病率在我国目前仍呈上升趋势，危重者可发生心脏骤停，心脏骤停后死亡率极高。积极评估患者病情变化，预警心脏骤停的发生，及时给予临床干预，可降低死亡率。目前临床评估方法主要靠预警因素。本文主要从分子生物学、一般临床特征、实验室及辅助检查指标、预警模型及评分等方面对ACS导致心脏骤停的预警因素进行综述。

• The incidence rate of acute coronary syndrome (ACS) is still on the rise in China. Cardiac arrest (CA) can occur in critically ill patients, and the mortality after cardiac arrest is extremely high. Active assessment of patients′ condition changes, early warning of the occurrence of cardiac arrest, and timely clinical intervention can reduce mortality. At present, clinical assessment methods mainly rely on early warning factors. This article mainly reviews the early warning factors of cardiac arrest caused by ACS from the aspects of molecular biology, general clinical characteristics, laboratory and auxiliary examination indicators, early warning models and scores.