急性心肌梗死加速经皮冠状动脉成形术临床研究

The clinical study of accelerated percutaneous coronary intervention in acute myocardial infarction

【目的】探讨加速经皮冠状动脉成形术(加速PCI)治疗急性心肌梗死(AMI)的临床疗效。【方法】2 4例AMI患者入院后行加速PCI ,与同期行直接PCI的36例患者比较,观察两组梗死相关动脉(IRA)开通情况及心功能恢复。【结果】至冠状动脉造影时,在IRA开通方面,加速PCI优于直接PCI。对于左室功能恢复,加速PCI优于直接PCI。【结论】应用加速PCI治疗AMI安全、可行,利于IRA早期开通,利于左室功能恢复。

To evaluate the clinical effect of accelerated percutaneous coronary intervention(PCI) in patients with acute myocardial infarction(AMI).24 patients underwent accelerated PCI,36 patients underwent direct PCI,contrast the effect of infarction related artery(IRA) recanalization and the function of left ventricular.Until coronary artery graphic(CAG),the accelerated PCI is superior to direct PCI in both IRA recanalizaton and left ventricular function.[Conclusion]The accelerated PCI is safe,benefit for IRA recanalizaton and left ventricular function.