急性心肌梗死患者介入治疗的预后评估
摘要
直接冠状动脉介入术(PCI)治疗ST段抬高心肌梗死(STEMI)已取得显著疗效,而且有研究显示直接PCI治疗优于溶栓治疗[1].但是即使成功实行了直接介入治疗及时开通罪犯血管,还是存在再发生心脏事件的危险性.因此,对接受直接PCI治疗的STEMI患者进行恰当的危险评估可以指导临床治疗,加强患者的后期管理,以进一步降低恶性心脏事件的发生率.本文着重讨论目前研究的几个危险分层指标及预后预测因子.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2005年第9期571-573,共3页
Journal of Clinical Cardiology
参考文献13
-
1Keeley E C, Boura J A, Grines C L.Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials. Lancet, 2003,361:13-20.
-
2Stephen G. Elli S,Derek C,et al.Death following creatine Kinase-MB elevation after coronary intervention identification of an early risk period: importance of creatine Kinase-MB level,completeness of revascularization, ventricular function, and probable benefit of statin therapy, Circulation, 2002,106: 1205-1210.
-
3Kize R Muttre J, Mattha I, et al. Role of cardiac troponin T in the long-term risk stratification of patients undergoing percutaneous coronary intervention.Eur Heart J, 2003 ,24:1314-1322.
-
4Ohlmann P, Monassier J P, Michotey M,et al. Troponin I concentrations following primary percutaneous coronary intervention predict large infarct size and left ventricular dysfunction in patients with ST-segment elevation acute myocardial infarction. Atherosclerosis, 2003, 168: 181-189.
-
5Katayama T, Nakashima H, Yonekura T, et al. Clinical significance of acute-phase brain natriuretic peptide in acute myocardial infarction treated with direct coronary angioplasty. J Cardiol, 2003,42:195-200.
-
6Sano T, Tanaka A, Namba M, et al. C-reactive protein and lesion morphology in patients with acute myocardial infarction.Circulation, 2003,108:282-285.
-
7Montalescot G, Ankri A, Vicaut E, et al .Fibrinogen after coronary angioplasty as a risk factor for restenosis.Circulation, 1995,92:31-38.
-
8Tenerz A, Nilsson G, Forberg R,et al. Basal glucometabolic status has an impact on long-term prognosis following an acute myocardial infarction in non-diabetic patients. J Intern Med, 2003 ,254:494-503.
-
9Igarashi Y, Aizawa Y, Satoh T, et al. Predictors of adverse long-term outcome in acute myocardial infarction patients undergoing primary percutaneous transluminal coronary angioplasty with special reference to the admission concentration of lipoprotein (a). Circ J, 2003, 67: 605 -611.
-
10Cortadellas J, Figueras J, Missorici M,et al. ST segment elevation at 72 hours in patients with a first anterior myocardial infarction best correlates with pre-discharge and 1-year regional contractility and ventricular dilatation. Eur Heart J, 2004,25:224-231.
-
1陈炎,冯永萌.血清瘦素水平和冠心病患者危险分层及冠脉病变状况的关系[J].海南医学院学报,2015,21(1):32-34. 被引量:5
-
2王梅,王春梅,王成钢,艾辉,朱小玲.糖化血红蛋白与直接冠状动脉介入术后氯吡格雷抵抗关系[J].中华实用诊断与治疗杂志,2013,27(3):250-252. 被引量:7
-
3李奕,张玲珑,曲秀芹.急性心肌梗死直接PCI术后QT离散度变化的研究[J].医学信息,2009,22(12):2892-2893.
-
4王丹,王耿,韩雅玲,周薇薇,马蕊.强化他汀对首次急性前壁心肌梗死患者直接PCI治疗后1年左心功能的影响[J].创伤与急危重病医学,2015,3(3):137-140. 被引量:2
-
5郭小梅,彭稳中.STEMI患者溶栓后转诊PCI应注意的几个问题[J].临床心血管病杂志,2013,29(9):641-643. 被引量:3
-
6张奇,沈卫峰.急性ST段抬高型心肌梗死抗栓治疗临床研究进展及指南更新[J].国际心血管病杂志,2010,37(6):377-382. 被引量:7
-
7杨宁,赵季红,付丽,姜铁民,李玉明.血糖在急性心肌梗死介入治疗患者的预后价值[J].临床心血管病杂志,2007,23(11):861-863. 被引量:6
-
8万方,何奔.急性ST段抬高型心肌梗死溶栓后早期介入治疗效果未必亚于直接介入治疗[J].中华心血管病杂志,2015,43(3):274-276. 被引量:19
-
9杨林.静脉溶栓后介入与直接介入治疗急性心肌梗死的临床疗效比对分析[J].中国现代药物应用,2012,6(18):69-70. 被引量:6
-
10王冬梅.直接介入治疗应用于老年急性心肌梗死的体会[J].中国保健,2009(32):1555-1555.