川北医学院学报2025，Vol.40Issue(6)：751-754,4.DOI:10.3969/j.issn.1005-3697.2025.06.015
超声3D-STI参数联合血清NT-proBNP水平对急性心肌梗死患者PCI术后不良心血管事件的预测价值
The predictive value of ultrasound 3D-STI parameters combined with ser-um NT proBNP levels for adverse cardiovascular events in patients with a-cute myocardial infarction after PCI
摘要
Abstract
Objective:To explore the predictive value of ultrasound three-dimensional speckle tracking imaging(3D-STI)pa-rameters combined with serum N-terminal pro brain natriuretic peptide(NT proBNP)levels for adverse cardiovascular events(MACE)in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:82 patients with acute myocardial infarction(AMI)were divided into MACE group(n=18)and non MACE group(n=64)based on the occurrence of MACE during the 6-month follow-up.Collected clinical data of all patients,postoperative ultrasound 3D-STI parameters,and serum NT proBNP levels,compared the differences between the two groups of the above parameters,used Logistic regression analysis to identify independent risk factors for MACE,and drawed receiver operating characteristic(ROC)curves to verify the predictive value of each indicator individual-ly and in combination for MACE.Results:18 out of 82 patients developed MACE(21.95%).The LDL,cTnT,and serum NT proBNP levels in the MACE group were higher than those in the non MACE group(P＜0.05),while LVEF,GLS,GCS,GRS,GAS,rotation an-gle,and rotation angle were lower than those in the non MACE group(P＜0.05).Logistic regression analysis showed that GLS(OR=3.102),GCS(OR=2.989),GRS(OR=3.053),and serum NT proBNP(OR=2.956)were independent risk factors for MACE after PCI in AMI patients(P＜0.05).The ROC curve showed that when all indicators were used in combination,the AUC was 0.976,and the sensitivity and specificity were 94.44%and 95.31%,respectively.Conclusion:Ultrasound 3D-STI related parameters GLS,GCS,GRS combined with serum NT proBNP levels can further improve the predictive value of MACE occurrence in AMI patients after PCI.关键词
急性心肌梗死/经皮冠状动脉介入治疗/超声三维斑点追踪成像/N末端脑钠肽前体/不良心血管事件/预测价值Key words
Acute myocardial infarction/Percutaneous coronary intervention therapy/Ultrasound 3D speckle tracking imaging/N-terminal pro brain natriuretic peptide/Adverse cardiovascular events/Predictive efficiency分类
临床医学引用本文复制引用
梁帅,赵美娜,王晓辉,苏玉芳,耿帅斌,杨晓青..超声3D-STI参数联合血清NT-proBNP水平对急性心肌梗死患者PCI术后不良心血管事件的预测价值[J].川北医学院学报,2025,40(6):751-754,4.基金项目
河北省医学科学研究项目(20210923) （20210923）
