中国动脉硬化杂志2018，Vol.26Issue(1)：51-54,4.
首次急性ST段抬高型心肌梗死患者行直接经皮冠状动脉介入术中发生心动过缓的危险因素
Risk factors of intraoperative bradycardia during primary percutaneous coronary intervention in patients with first acute ST-segment elevation myocardial infarction
摘要
Abstract
Aim To investigate risk factors of intraoperative bradycardia during primary percutaneous coronary intervention (PPCI) in patients with first acute ST-segment-elevation myocardial infarction (STEMI).Methods Totally 448 first acute STEMI patients who had PPCI in Beijing Anzhen Hospital,Capital Medical University were enrolled.All patients were divided into two groups according to intraoperative bradycardia:intraoperative bradycardia group (105 cases,preoperative heart rate was greater than or equal to 60 times/min,intraoperative heart rate was less than 60 times/min persistent or transient) and control group (343 cases).Totally 32 clinical and angiographic items were recorded.Risk factors of intraoperative bradycardia during PPCI for first acute STEMI were analyzed.Results In present study,a frequency of intraoperative bradycardia was 23.43％ (105/448).Complete block of culprit vessel,culprit vessel being left anterior descending coronary artery,culprit vessel being right coronary artery,single vesseL/multiple vessels lesion,no-reflow,high density lipoprotein cholesterol,creatinine,and hemoglobin had significant differences in the two groups of patients (P＜0.05) among the 32 involved factors.Multivariate logistic stepwise regression showed that no-reflow (odd ratio =3.033,95％ confidence interval:1.479 ～ 6.223) and culprit vessel being right coronary artery (odd ratio =2.652,95％ confidence interval:1.602 ～ 4.391)were independent risk factors predicting intraoperative bradycardia during PPCI with first acute STEMI.Conclusion No-reflow and culprit vessel being right coronary artery are independent risk factors predicting intraoperative bradycardia during PPCI in patients with first acute STEMI.关键词
冠状动脉疾病/心肌梗死/无复流/心动过缓/经皮冠状动脉介入术Key words
Coronary artery disease/Myocardial infarction/No-reflow phenomenon/Bradycardia/Percutaneous coronary intervention分类
医药卫生引用本文复制引用
李勇,吕树铮..首次急性ST段抬高型心肌梗死患者行直接经皮冠状动脉介入术中发生心动过缓的危险因素[J].中国动脉硬化杂志,2018,26(1):51-54,4.基金项目
“十二五”国家科技支撑计划项目(2011BAI11B05) （2011BAI11B05）
