重庆医学Issue(33)：4479-4480,4484,3.DOI:10.3969/j.issn.1671-8348.2014.33.021
延迟急诊PCI治疗急性ST段抬高型心肌梗死及患者预后的研究
A study of the treatment of delayed emergency percutaneous coronary intervention on the prognosis of patients with ST elevation acute myocardial infarction
付艳华 1索冬卫 2彭芳2
作者信息
- 1. 郑州大学第五附属医院 特需病房，郑州450052
- 2. 郑州大学第五附属医院 急诊科，郑州450052
- 折叠
摘要
Abstract
Objective To compare the prognosis of ST elevation acute myocardial infarction(STEMI) of delayed emergency per‐cutaneous coronary intervention(PCI) and elective PCI following the thrombolysis with reteplase ,and to investigate the clinic value of the former solution .Methods One hundred and twenty STEMI patients were reviewed retrospectively and were divided into 2 groups according to PCI .Eighty two cases were divided into emergency group :thrombolysis with reteplase offered within 6h was followed by elective PCI;38 cases were divided into delayed group:PCI was done after 12-24 h after ATEMI′occurring .The clini‐cal features and CTG changes were recorded ,TIMI class of IRA was conducted before and after PCI ,and their prognosis were com‐pared .Results There was no statistical differences in the class of thrombolysis of myocardial infarction(Class 0 -1 ,2 -3) of in‐farction relative artery (IRA)(4 .88% ,95 .12% vs .5 .26% ,94 .74% ) after PCI(P>0 .05) .There was no statistical difference in LVEF ,LVEDVI and LVESVI 3 months after attack between two groups(P>0 .05) .There was statistical difference in the severe cardiac failure and malignancy arrhythmia between two groups(P<0 .05) ,while no statistical difference exist in angina after infarc‐tion as well as cardiac mortality after attack between two groups(P>0 .05) .Conclusion Delayed emergency PCI to remove the ob‐struction in the coronary artery has no significant difference with elective PCI following thrombolysis in the incidence of composite end point events in STEMI .关键词
ST段抬高型心肌梗死/急诊经皮冠脉介入术/溶栓Key words
ST elevation acute myocardial infarction/percutaneous coronary intervention/thrombolysis分类
医药卫生引用本文复制引用
付艳华,索冬卫,彭芳..延迟急诊PCI治疗急性ST段抬高型心肌梗死及患者预后的研究[J].重庆医学,2014,(33):4479-4480,4484,3.
