急性心肌梗死后延迟冠状动脉介入术的临床分析

Delayed percutaneous coronary intervention in patients with acute myocardial infarction

目的 探讨急性心肌梗死(AMI)后延迟经皮冠状动脉腔内成形术及支架术治疗的临床疗效。方法 将88例患者分为经皮冠状动脉介入治疗(PCI)和非PCI组,PCI组于发病后平均13d行PCI术。随访两组患者的心脏事件发生率。结果 与非PCI组相比,PCI组患者在不稳定型心绞痛发作,左室射血分数的提高及复合终点事件方面差异有显著性。结论 AMI后延迟PCI可减少患者的心脏事件发生。

Objective To assess the effec t of delayed percutaneous coronary intervention(PCI)during 30 days after acute myo cardial infarction (AMI).Methods 88 patients with AMI were divi ded into PCI group (44cases) and non-PCI group;Fourty-four patients underwent PTCA and coronery stenting with an average of 13 days after the acute event.Hear t events in each group were recorded.Results Unstable angina(18.2 vs 45.5%,P<0.01),LVEF elevation (43.2% vs 18.2%,P< 0.01) and composite events (22.7% vs 54.5%,P<0.01) were improved signific antly in PCI group than in non-PCI group.Conclusion Delayed PT CA and stenting for infarct-related artery significantly decreases cardiac even ts in patients with acute myocardial infarction.