急性心肌梗死早期完全血运重建对预后的影响被引量：1

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摘要选择急性期接受经皮冠状动脉成形术(PCI)治疗的冠脉多支病变急性心肌梗死(AMI)患者312例,按PCI血管重建程度分为完全血管重建组(MVDCR组)和不完全血管重建组(MVDICR组)。发现与MVDICR组比较,MVDCR组随访期内恶性心律失常、心衰及死亡发生率低(P<0.05),两组不稳定型心绞痛、再发心肌梗死、靶血管重建发生率差别无统计学意义(P>0.05)。认为对多支冠脉血管病变的AMI患者实施病变血管完全重建可以提高心功能、减少主要心脏不良事件的发生,降低死亡率。

作者窦晓婧李广平徐延敏尹力许刚王伟郑心田

机构地区天津医科大学第二医院

出处《山东医药》 CAS 北大核心 2009年第12期62-63,共2页 Shandong Medical Journal

关键词急性心肌梗死多支病变放射学介入性完全血管重建预后

分类号 R542.2 [医药卫生—心血管疾病]

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参考文献6

1高润霖.急性心肌梗死诊断和治疗指南[J].中华心血管病杂志,2001,29(12):710-725. 被引量：4880
2Sorajja P, C, ersh BJ, Cox DA, et al. Impact of multivessel disease on reperfusion success and clinical outcomes in patients undergoing primary percutaneous coronary intervention for acute myocardial infarction [J]. Eur Heart J, 2007, 28(14) :1709-1716.
3Corpus RA, House JA, Marso SP, et al. Muhivessel pereutaneous coronary intervention in patients with multivessel disease and acute myocardial infarction [J]. Am Heart J, 2004,148(3) : 493-500.
4Kalarus Z, Lenarczyk R, Kowalczyk J, et al. Importance of complete revascularization in patients with acute myocardial infarction treated with percutaneous coronary intervention [ J ]. Am Heart J, 2007,153(2) :304-312.
5李原风,林阳,肖煜东.急性心肌梗死冠脉多支病变介入治疗效果分析[J].黑龙江医学,2006,30(8):567-569. 被引量：1
6ShenWF, Zhang RY, ShenY, et al. Optimal timing for coronary stenting in unstable angina [ J]. Chin Med J, 2001,114( 1 ) :59- 61.

二级参考文献7

1Mueller C,Buettner H J,Hodgson J M,et al.Inflammat ion and long-term mortality after no-ST elevation acute coronary syndrome treated with a very early invasive strategy in 1042 consecutive patients[J].Circulation,2002,105:1 412～ 1 415.
2Best P J,Lennon R,Ting H H,et al.The impact of renal insufficiency on clinical outcomes in patients undergoing percutaneous coronary interventions[J].Am Coll Cardiol,2002,39:1 113～1 119.
3Brooks M M,Jones R H,Bach R G,et al.Predictors of mortality and mortality from cardiac causes in the bypass angioplasty revascularization investigation (BIRI) randomized trial and registry[J].Circulation,2000,101:2 682～ 2 689.
4Shen W F,Zhang R Y,Shen Y,et al.Optimal timing for coronary stenting in unstable angina[J].Chin Med J,2001,114:59～ 61.
5Every N,Hallstrom A,McDonald K M,et al.Risk of sudden versus nonsudden cardiac death in patients with coronary artery disease[J].Am Heart J,2002,144:390 ～ 396.
6高润霖.急性心肌梗死诊断和治疗指南[J].中华心血管病杂志,2001,29(12):710-725. 被引量：4880
7无,Tan HQ,Liang Y,Zhu J,Liu LS,Cronin L.急性心肌缺血综合征中国地区现状调查[J].Chinese Medical Journal,2002(8):1123-1126. 被引量：3