补救性PCI和直接PCI治疗急性心肌梗死患者近期心功能变化

Short term cardiac function alteration in patients with acute myocardial infarction treated with rescue and primary PCI

目的观察补救性经皮冠状动脉介入治疗(PCI)和直接PCI治疗急性心肌梗死(AMI)患者1个月后的心功能变化。方法对于AMI静脉溶栓“后罪犯血管”血流TIMI0～Ⅰ级患者进行补救性PCI手术,术后1个月做超声心动图,了解心功能状态;并与进行直接PCI术的AMI患者1个月后心功能状态相比。结果补救性和直接PCI术后两组相比,1个月后心功能改善两组相似(P>0.05)。结论由于静脉溶栓后实施补救性PCI手术成功率高且近期有良好的心功能状态,因此,任何溶栓失败的AMI患者都应该及时进行补救性PCI手术。

Objective To observe cardiac function change at 1 month after rescue and primary percutaneous coronary intervention （PCI） therapy in patients with acute myocardial infarction （AMI）. Methods Patients with AMI received rescue PCI, if the blood flow of ＂criminal vessel＂ was TIMI 0～Ⅰ grade after venous thrombolytic therapy, compared with those who received primary PCI during the latest 2 years, to evaluated cardiac function alteration 1 month later by echocardiography. Results After one month, the improvement of cardiac performance was similar between two group （P〉0.05）. Condusion Rescue PCI for AMI have high success rate. It should be carried out for any failed thrombolysis in patients with AMI.