临床医学工程2025，Vol.32Issue(2)：195-199,5.DOI:10.3969/j.issn.1674-4659.2025.02.0195
心脏MRI参数与急性心肌梗死患者PCI术后并发心力衰竭的关系分析
Analysis on the Relationship between Cardiac MRI Parameters and Heart Failure After PCI in Patients with Acute Myocardial Infarction
摘要
Abstract
Objective To explore the relationship between cardiac magnetic resonance imaging(MRI)parameters and heart failure after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods 167 patients with AMI who underwent PCI in Zhengzhou Hospital of Traditional Chinese Medicine from January 2020 to March 2022 were selected as the observation group,and 167 healthy subjects in the same period were recruited as the control group.All subjects underwent cardiac MRI examination,and left ventricular function-related parameters were collected,including LVEF,SV,LVMI,LVESV,LVEDV,LVESD,LVEDD.The incidence of heart failure in AMI patients was followed up for 1 year.The patients with heart failure were included in the occurrence group,and the patients without heart failure were included in the non-occurrence group.The general data and cardiac MRI parameters of the patients in the occurrence group and the non-occurrence group were compared.Logistic regression analysis was used to explore the influencing factors of heart failure after PCI in patients with AMI.The ROC was used to analyze the predictive value of cardiac MRI parameters for heart failure after PCI in patients with AMI.Results The levels of LVMI,LVESV,LVEDV,LVESD and LVEDD in the observation group were higher than those in the control group,and the levels of LVEF and SV were lower than those in the control group(P＜0.05).The incidence of heart failure after PCI in AMI patients was 14.10％(22/156).The time from onset to PCI,the levels of LVMI,LVESV,LVEDV,LVESD and LVEDD in the occurrence group were higher than those in the non-occurrence group(P＜0.05),and the levels of LVEF and SV were lower than those in the non-occurrence group(P＜0.05).The time from onset to PCI,LVEF,LVMI,LVESD and LVEDD were the influencing factors of heart failure after PCI in AMI patients(OR=2.818,0.593,3.418,4.263,4.637,P＜0.05).The sensitivity of combining the time from onset to PCI,LVEF,LVMI,LVESD,and LVEDD to predict heart failure in AMI patients was higher than that of each index alone(P＜0.05),the AUC was higher than that of each index alone(P＜0.05),and the difference in specificity from that of each index alone was not statistically significant(P＞0.05).Conclusions LVEF,LVMI,LVESD and LVEDD are all influencing factors ofheart failure after PCI in AMI patients.The combination of the above factors is more effective in predicting heart failure after PCI in AMI patients than each index alone.关键词
核磁共振成像/急性心肌梗死/经皮冠状动脉介入治疗/心力衰竭Key words
Magnetic resonance imaging/Acute myocardial infarction/Percutaneous coronary intervention/Heart failure分类
医药卫生引用本文复制引用
张静,苏淑红..心脏MRI参数与急性心肌梗死患者PCI术后并发心力衰竭的关系分析[J].临床医学工程,2025,32(2):195-199,5.基金项目
河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20200942) （项目编号:LHGJ20200942）
