【摘要】 目的 探讨颈动脉超声联合心脏超声参数预测急性心肌梗死（AMI）患者介入术后不良心血管事件（MACE）的价值。方法 选取2023年9月至2025年1月本院收治的70例AMI患者为对象，根据患者MACE发生情况将其分为MACE组（n=18）和非MACE组（n=52）。患者均接受颈动脉超声及心脏超声检查，分析超声参数预测AMI患者介入术后MACE的效能。结果MACE组CIMT、 LVED、 IVST高于非MACE组，LVEF低于非MACE组（P<0.05）。Logistic多因素分析结果显示CIMT(OR=2.784)、 LVED(OR=2.659)、 LVEF(OR=0.603)、 IVST(OR=3.050)为AMI患者介入术后发生MACE独立影响因素（P<0.05）。CIMT、 LVED、 LVEF、 IVST及联合检测预测AMI患者介入术后发生MACE的AUC分别为0.815、 0.761、 0.741、 0.804、0.976，联合检测预测AMI患者介入术后发生MACE的AUC高于各指标单独应用（均P<0.05）。结论 颈动脉超声与心脏超声参数与AMI患者介入术后发生MACE关系密切，并且联合应用两种检查方式可提高对MACE的预测价值。更多还原

【Abstract】 Objective To explore the value of carotid artery ultrasound combined with cardiac ultrasound parameters in predicting major adverse cardiovascular events(MACE) after interventional therapy in patients with acute myocardial infarction(AMI). Methods Seventy AMI patients admitted to our hospital from September 2023 to January 2025 were selected as objects and were divided into MACE group(n = 18) and non-MACE group(n = 52) according to the occurrence of MACE in the patients. All patients underwent carotid artery ultrasound and cardiac ultrasound examinations to analyze the efficacy of ultrasound parameters in predicting MACE after interventional surgery in AMI patients. Results The CIMT, LVED and IVST in the MACE group were higher than those in the non-MACE group, and the LVEF was lower than that in the non-MACE group(P <0.05). The results of Logistic multivariate analysis showed that CIMT(OR = 2.784),LVED(OR = 2.659), LVEF(OR = 0.603), and IVST(OR = 3.050) were independent influencing factors for the occurrence of MACE in AMI patients after interventional surgery(P <0.05). The AUCs of CIMT, LVED, LVEF, IVST and combined detection in predicting the occurrence of MACE after interventional surgery in AMI patients were 0.815, 0.761, 0.741, 0.804 and 0.976, respectively; the AUC of the combined detection in predicting the occurrence of MACE after interventional surgery in AMI patients was higher than that of each index applied alone(all P <0.05). Conclusions The carotid artery ultrasound and cardiac ultrasound parameters are closely related to the occurrence of MACE in AMI patients after interventional surgery, and the combined application of the two examination methods can improve the predictive value of MACE.更多还原