摘要
目的观察首次急性心肌梗死（AMI）且溶栓再通的病人肌酸激酶（CK）峰值出现时间与梗死范围和左室功能之间的关系。方法将66例首次AMI病人根据发病时间到CK峰值出现的时间分为两组,A组36例,CK峰值出现的时间〈12h;B组30例,CK峰值出现的时间〉12h。结果CK峰值出现时间较晚者的心功能在急性期及恢复期（5个月-7个月）均好于CK峰值出现时间较早者（P〈0.05）。结论CK峰值出现时间较晚反映了心肌得到较好的挽救。
Objective To study the relationship between the times to peak create kinase activity and heart function in patients （pts） with reperfused acute myocardial infarction （AMI）.. Methods Based on the time to peak create kinase activity in pts with reperfused AMI, there were 66 pts in group A （successful reperfusion time 〈 12 hours） and 36 pts in group B （successful reperfusion time ≥12 hours）. The LVEF and EDV of left ventricle were calculated and analyzed by myocardial SPECT. Results Left ventricular ejection fraction was better in group B than that in group A（ P〈 0.05 ）, Conclusion The late peak CK had better myocardial salvage in pts with AMI who had successful reperfusion.
出处
《中西医结合心脑血管病杂志》
2007年第10期942-943,共2页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
