重庆医学Issue(7)：798-800,3.DOI:10.3969/j.issn.1671-8348.2014.07.010
急诊冠状动脉介入治疗后再灌注心律失常的临床分析
Clinical analysis of emergency coronary after interventional reperfusion arrhythmia
摘要
Abstract
Objective To explore the characteristics of the reperfusion arrhythmia after acute myocardial infarction (AMI) pa-tients underwent emergency coronary interventional therapy ,in order to reduce the incidence of serious arrhythmia ,and improve the prognosis and quality of life .Methods Clinical data of 147 patients from January 2009 to May 2012 with acute myocardial infarction occurrence reperfusion arrhythmia after underwent emergency coronary interventional treatment were analyzed .Results In 147 ca-ses ,62 cases of reperfusion arrhythmia occurred .Infarct-related artery for the left anterior descending branch (LAD) 33 patients (LAD group ) ,left circumflex artery (LCX) 7 cases (LCX group ) after surgery ,the right coronary artery(RCA) 22 cases (RCA group) .The tachyarrhythmia in LAD group was higher than RCA group(P<0 .05);the bradyarrhythmia in RCA group was higher than LAD group (P<0 .05) .Opening of the infarct-related artery<6 h arrhythmia had 43 cases occurred ,and >6 h arrhythmia had 19 cases occurred ;Arrhythmia after acute myocardial infarction occurred mainly in infarct related artery opened earlier .Conclusion AMI occurrence reperfusion arrhythmia after underwent emergency coronary interventional treatment have high incidence ,there is a correlation between the arrhythmia type and infarct-related artery ,also has a correlation between incidence and reperfusion time .关键词
心肌梗死/冠状血管/再灌注/心律失常 ,心性Key words
myocardial infarction/coronary vessels/reperfusion/arrythmias ,cardiac引用本文复制引用
查克岚,曾瑜,李家富..急诊冠状动脉介入治疗后再灌注心律失常的临床分析[J].重庆医学,2014,(7):798-800,3.基金项目
四川省科技计划项目（2012hh0011）。 （）
