中国现代医学杂志2004，Vol.14Issue(3)：7-10,4.
不同方式再通梗死相关血管对急性心肌梗死面积及近期预后的影响
Effect of patency on infarct size and short term prognosis in patients with acute myocardial infarction by intravenous thrombolysis or PTCA
游斌权 1米世簪 2苏唏1
作者信息
- 1. 武汉亚洲心脏病医院,湖北,武汉,430022
- 2. 华中科技大学同济医学院附属同济医院,湖北,武汉,430030
- 折叠
摘要
Abstract
Objective:The purpose of this study wasObjective:To evaluate the effect of patency of infarction-related coronary artery(IRA)on infarct size and the short term prognosis in acute myocardial infarction(AMI)patients treated with intravenous thrombolytic therapy or primary transluminal coronary angioplasty(FTC A).Methods; 55 consecutive patienls with acute myocardial infarction were studied.The IRA was reperfused by PTCA Objective:Together with direct in-trocoronary stentin 19 patients(PTCA group)and by intravenous thrombolysis in 36 patients(thrombolytic group).ST segment algorithm method and ORS scores were used Objective:To predict infarct size.The clinical complications and mortality rate during hospitalization were also analyzed.ResultS;The predict means of infarct size(%)in the PTCA group and Thrombolytic group were(24.13 ±5.65)and(23.80 ±5.74),respectively,before patency.There was no significant diffrence between them,Infarct size wassignificant reduced in PTCA group than in Thrombolytic group 2 weeks after patency [(32.42 ± 8.59)% va(20.02 ± 10.12)%,P＜0.05 ].Severe pump failure and postinfarction angina pecObjective:Toris were reduced in PTCAgroup,and left ventricular ejection fraction were significantly improved in PTCA group than in Thrombolytic group(P<0.05),but no significant difference in malignant arrhythmia and mortality were found between two groups(P >0.05).Conclusions;Patency of IRA by PTCA can significantly reduce infarction size than by intravenous thronibolysis.PTCA can significantly reduce the clinical complications and improve fiospitalization prognosis.关键词
急性心肌梗死/直接经皮冠状动脉腔内成形术/静脉溶栓/梗死相关血管/心电图Key words
acute myocardial infarction/thrombolytic therapy/transluminal percutaneous coronary angioplas-ty/infarct size/left ventricular ejection fraction分类
医药卫生引用本文复制引用
游斌权,米世簪,苏唏..不同方式再通梗死相关血管对急性心肌梗死面积及近期预后的影响[J].中国现代医学杂志,2004,14(3):7-10,4.
