川北医学院学报Issue(6)：841-844,4.DOI:10.3969/j.issn.1005-3697.2015.06.27
急性心肌梗死经皮腔内冠脉介入治疗后心电图 ST 段回落不良与临床预后的关系研究
ST-segment resolution in acute ST-elevation myocardial infarction after primary percutaneous coronary intervention:short/long-term prognosis and associated factors
任雪丽 1谭仕芸 1沈桂冬 2陈海波 1金鑫 1刘杰 1邓丽丽1
作者信息
- 1. 安康市人民医院
- 2. 陕西省安康市中心医院，陕西 安康 725000
- 折叠
摘要
Abstract
Objective:To investigate the value of electrocardiogram ST segment (STR)in the short and long-term prognosis of patients with acute myocardial infarction (AMI)after percutaneous coronary intervention (PCI).Methods:Clinical data of 1 10 patients with acute ST segment elevation myocardial infarction underwent PCI treatment within 12 hours after onset was analyzed.According to the heartbeat figure STR were divided into group:control group (STR≥50%,n =59)and STR negative group (STR <50%,n =5 1 ). Adverse cardiac events during hospitalization were observed in two groups after operation PCI (MACE).And postoperative left ventric-ular three-dimensional color Doppler ultrasound in 1 ,6,12 months of LA,LVEF,FS,E /A,LVEDd of the difference were also com-pared.Results:Compared with the control group,the duration of hospitalization and MACE were significantly higher in the STR nega-tive group(P <0.05),and the functions of heart were significantly lower after 1 ,6,12 months(P <0.05).The left ventricular remode-ling is significantly higher than that of the control group(P <0.05).Conclusion:According to our study,patients with AMI after PCI, the level of STR is closely related to clinical short-term and long-term clinical prognosis and can be used as a good indicator.关键词
急性 ST 段抬高型心肌梗死/经皮腔内冠脉介入治疗/STR/临床预后/心脏功能Key words
ST-Segment elevation myocardial infarction/Percutaneous coronary intervention/ST segment resolution/Clinical prognosis/Cardiac function分类
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任雪丽,谭仕芸,沈桂冬,陈海波,金鑫,刘杰,邓丽丽..急性心肌梗死经皮腔内冠脉介入治疗后心电图 ST 段回落不良与临床预后的关系研究[J].川北医学院学报,2015,(6):841-844,4.
