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择期完全血管开通与不完全血管开通急性心肌梗死非梗死相关血管的预后比较 被引量：3

To compare the prognosis of selective complete revascularization with incomplete revascularization in non-infarct artery of acute myocardial infarction
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摘要 目的:比较择期完全开通和不完全开通急性心肌梗死(AMI)患者非梗死相关血管的临床预后。方法:收集2007-01-2008-12在我院所有直接行冠状动脉介入治疗(PCI)的AMI患者154例,对非梗死相关血管择期完全血管开通与不完全血管开通进行临床预后分析。结果:所有病例随访1年以上,完全血管开通组心绞痛发生率显著低于不完全血管开通组(4∶20,P=0.009),其余临床事件,2组差异均无统计学意义。结论:AMI患者完全血管开通较不完全开通能有效改善患者生活质量,但对患者主要心脏不良事件无显著差异。 Objective：To discuss of selective complete revascularization of acute myocardial infarction clinical prognosis in non-infarct artery.Method：Data from our hospital from January 2007 to December 2008 primary PCI in acute myocardial infarction patients（154 people）,we analysis clinical prognosis non-infarct vessel of acute myocardial infarction for complete revascularization or incomplete revascularization.Result：The patients with angina pectoris who complete revascularization of acute myocardial infarction in non-infarct artery is less than those who incomplete revascularization（4∶20,P=0.009）.There is no statistically significant difference in other clinical Event.Conclusion：The patients who complete revascularization of acute myocardial infarction can effectively improve the quality of life comparison of incomplete revascularization,but there is no statistically significant difference in cardiovascular events.
作者 郜俊清 赵德强 金惠根 刘宗军 汪蔚青 杨伟 王东毅 汪志华 于宏梅 沈峻
机构地区 上海中医药大学附属普陀医院心内科
出处 《临床心血管病杂志》 CAS CSCD 北大核心 2010年第11期837-839,共3页 Journal of Clinical Cardiology
基金 上海市医学重点专科心内科(No:05-II026)
关键词 心肌梗死 非梗死相关动脉 多支病变 myocardial infarction non infarct-related artery multivessel disease
分类号 R542.2 [医药卫生—心血管疾病]
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参考文献11

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同被引文献43

  • 1陈燕春,张奇,张瑞岩,沈杰,胡健,杨振坤,张建盛,沈卫峰.急性心肌梗死伴多支病变患者完全血运重建安全性及临床疗效[J].上海医学,2008,31(10):690-693. 被引量：8
  • 2Shihara M, Tsutsui H, Tsiichibashi M, et al. In - hospital and one- year outcome for patients undergoing pereutaneous coronary intervention for acut myocardial infaretion [ J ]. Am J Cardiol, 2002, 90(9): 932-936.
  • 3Almeda FQ, Snell RJ. Coronary revascularization in multivessel disease. Which is better, stents or surgery [ J ]. Postgrad Med, 2005, 118(6):11-17.
  • 4Levine GN, Bates ER, Blakenship JC, et al. 2011 ACCF/AHA/ SCAI Guideline for percutaneous coronary intervention[ J]. JACC, 2011 , 58(24) : e44 - e125.
  • 5O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA Guideline for the management of ST - elevation myocardial infarc- tion[J]. JACC, 2013, 61(4): e78-140.
  • 6Wald DS, Morris JK, Wald N J, et al. Randomized trial of preven- tive angioplasty in myocardial infarction [ J ]. N Engl J Med, 2013, 369(12) : 1115 -1123.
  • 7Bainey KR, Mehta SR, Lai T, et al. Complete vs culprit - only revascularization for patients with multivessel disease undergoing primary percutaneous coronary intervention for ST - segment eleva- tion myocardial infarction : A systematic review and meta - analysis [J].AmHeartJ, 2014, 167(1): 1-14.
  • 8Mohamad T, Bemal JM, Kondur A, et al. Coronary revaseulariza- tion strategy for ST elevation myocardial infarction with multives- sel disease : experience and results at 1 - year follow - up [ J ]. Am J Ther, 2011, 18(2) : 92 -100.
  • 9Zapata GO, Lasave L1, Kozak F, et al. Culprit - only or mul- tivessel percutaneous coronary stenting in patients with non - ST - segment elevation acute coronary syndromes : one - year fol- low-up[J]. J Interv Cardiol, 2009, 22(4): 329-335.
  • 10Shihara M, Tsutsui H, Tsuchihashi M, et al. In-hospital andone-year outcomes for patients undergoing percutaneous coronaryintervention for acute myocardial infarction [ J ]. Am J Cardiol,2002,90 (9):932-936.

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临床心血管病杂志
2010年 第11期

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