实用医学杂志Issue(5)：748-751,4.DOI:10.3969/j.issn.1006-5725.2014.05.023
经皮冠脉介入治疗围手术期心肌损伤影响因素分析
Influencing factors of perioperative myocardial injury in patients undergone percutaneous coronary intervention
摘要
Abstract
Objective To investigate influencing factors of perioperative myocardial injury in patients undergone percutaneous coronary intervention (PCI). Methods Ninty one patients with coronary heart disease (including stable angina and unstable angina) underwent PCI, the perioperative myocardial injury incidence were observed prospectively by monitoring the preoperative and postoperative high sensitivity troponin protein levels to investigate the influencing factors of perioperative myocardial injury by Logistic regression analysis. Results There were no statistically significance in perioperative myocardial injury incidence (62.5%vs 68.7%, P=0.618) and perioperative myocardial infarction incidence (29.2%vs 20.9%, P=0.411) between stable angina and unstable angina groups . These factors of perioperative myocardial injury in patients undergone PCI by Logistic regression analysis were analysed, and we found that the influencing factors were the application loading dose rosuvastatin before PCI, preoperative statin therapy more than one month, apolipoprotein A levels and total stent length. Conclusion Application loading dose of rosuvastatin before PCI, preoperative statin therapy more than one month, apolipoprotein A levels are related to perioperative myocardial injury reduction, whereas the total length of the stent is associated with an increased occurrence of perioperative myocardial injury.关键词
血管成形术,经腔,经皮冠状动脉/围手术期心肌损伤/瑞舒伐他汀钙/高敏肌钙蛋白Key words
Angioplasty, transluminal, percutaneous coronary/Perioperative myocardial injury/Rosuvastatin/High-sensitivity troponin引用本文复制引用
盛建龙,王晓晨,许邦龙,吴继雄,胡章乐..经皮冠脉介入治疗围手术期心肌损伤影响因素分析[J].实用医学杂志,2014,(5):748-751,4.基金项目
安徽医科大学校级科研基金资助项目 （）
