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老年ST段抬高型心肌梗死患者经皮冠状动脉介入时机对左心功能的影响 被引量：6

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摘要 目的探讨经皮冠状动脉介入(PCI)时机对老年ST段抬高型心肌梗死(STEMI)患者左心功能的影响。方法 92例新发老年STE-MI患者施行PCI治疗,根据发病距梗死相关血管(IRA)开通时间分为两组,12 h内为急诊PCI组(56例),12 h后为择期PCI组(36例)。比较两组TIMI血流情况,术后Killip心功能分级及术前后超声心动图相关指标的改善情况。结果两组术前超声心动图指标无显著差异(P>0.05),急诊PCI组TIMI 3级血流患者比例高于择期PCI组(P<0.05),两组术后1、3个月时左心功能均较术前改善(P<0.05),急诊PCI组术后1、3个月超声心动图指标明显优于择期PCI组(P<0.05)。结论急诊PCI及择期PCI均能改善老年STEMI患者左心功能,而急诊PCI效果更为显著。
作者 银鹏飞 黄永杰 张鸿丽 孙达 富晶 汪小莹
机构地区 首都医科大学附属北京世纪坛医院老年心血管科
出处 《中国老年学杂志》 CAS CSCD 北大核心 2011年第21期4121-4123,共3页 Chinese Journal of Gerontology
关键词 老年ST段抬高型心肌梗死 经皮冠状动脉介入(PCI) 时机 左心功能
分类号 R541 [医药卫生—心血管疾病]
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参考文献7

  • 1Schomig A, Ndrepepa G, Mehifli J, et al. Therapy-dependent influence of time-to-treatment interval on myocardial salvage in patients with acute my- ocardial infarction treated with coronary stenting or thrombolysis [J]. Cir- culation ,2003 ; 108 : 1084-8.
  • 2Cannon CP, Gibson CM,Lambrew CT,et al. Relationship of symptom-on- set-to-balloon time and door-to-balloon time with mortality in patients un- dergoing angioplasty for acute myocardial infarction [J]. JAMA, 2000 ; 283:2941-7.
  • 3Gamey R, Fitzsimons D, Dempster M. Why people experiencing acute my- ocardial infarction delay seeking medical assistance[J].Eur J Cardiovase Nurs ,2002 ; 1 (4) :237-42.
  • 4Ito H, Maruyama A, Iwakura K, et al. Clinical implications of the" no-re- flow" phenomenon: a predictor of complications and left ventricular re- modeling in reperfused anterior wall myocardial infarction [J].Circula- tion, 1996 ; 93 : 223 -8.
  • 5Morishima I, Sone T, Okumura K,et al. Angiographic no-reflow phenome- non as a predictor of adverse long term outcome in patients treated with percutaneous transluminal coronary angioplasty for first acute myocardial infarction[ J]. J Am Coil Cardiol,2000 ;36 : 1202-9.
  • 6Anderson JK, Karagounis L, Becker LC ,et al. TIMI perfusion grade 3 but not grade 2 results in improved outcome after thrombolysis for myocardial infarction : ventrieulographic, enzymatic and electrocardiographic evidence from the TEAM-3 study[J]. Circulation, 1993 ;87 : 1829-39.
  • 7ho H, Okamura A, Iwakura K, et al. Myocardial perfusion patterns related to thrombolysis in myocardial infarction perfusion grades after coronary an- gioplasty in patients with acute anterior wall myocardial infarction [J]. Circulation, 1996 ;93 : 1993-9.

同被引文献45

  • 1Comte A,Lalande A,Walker PM,et al.Visual estimation of the globalmyocardial extent of hyperenhancement on delayed contrast-enhancedMRI[J].Eur radiol,2008:2182-2185.
  • 2白兰.急性心肌梗死(AMI)患者穿刺行急诊PCI的并发症及护理[J].中国健康月刊,2011,30(11):223-224.
  • 3葛洪霞,祖凌云,高炜,等.急性sT段抬高性心肌梗死患者远期死亡的危险因素分析[c].北京:第二十五届长城国际心脏病学会议、亚太心脏大会2014暨国际心血管预防与康复会议论文集,2014,30(4):155-155.
  • 4Hochman JS, Lamas GA, Buller CE, et al. Coronary interven- tion for persistent occlusion after myocardial infarction [ J ]. N Engl J Med,2006,355 (23) :2 395 - 2 407.
  • 5Norris CM, Saunders LD, Ghali WA, et al. Health-related quality of life outcomes of patients with coronary artery dis- ease treated with cardiac surgery, percutaneous coronary in- tervention or medical management[ J]. Can J Cardiol,2004, 20(12) :1 259 -1 266.
  • 6Dohi T, Maehara A, Brener SJ, et al. Utility of peak creatine kinase-MB measurements in predicting myocardial infarct size,left ventricular dysfunction, and outcome after first an- terior wall acute myocardial infarction (from the INFUSE- AMI trial) [ J ]. Am J Cardiol, 2015,115 ( 5 ) : 563 - 570.
  • 7Mehta H, Sacrinty M, Johnson D, et al. Comparison of use- fulness of secondary prevention of coronary disease in pa- tients < 80 versus ≥ 80 years of age [ J ]. Am J Cardiol, 2013,112(8) :1 099 -1 103.
  • 8Rynkowska-Kidawa M, Zieli~ska M, Chi~yfiski K, et al. In- hospital outcomes and mortality in octogenarians after percu- taneous coronary intervention [ J ]. Kardiol Pol, 2015,73 (6) :396 -403.
  • 9杨莹,陈小平.急诊PCI与静脉溶栓对急性心肌梗死坏死心肌及左心功能的影响[J].中西医结合心脑血管病杂志,2010,8(2):154-156. 被引量：5
  • 10陈彦霞,陈春红,尹博英,胥磊.择期PCI对急性心肌梗死患者心功能的影响[J].中国老年学杂志,2010,30(20):2922-2924. 被引量：11

引证文献6

二级引证文献27

中国老年学杂志
2011年 第21期

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