介入治疗急性前壁心肌梗死合并室速室颤临床疗效观察

Clinical curative effcet observation on PCI treated patients of anterior wall acute myocardial infarction combined ventricular tachycardia ventricular fibrillation

目的观察急诊冠脉介入治疗对急性前壁心肌梗死合并室速室颤的临床效果和安全性。方法通过回顾性分析13例急性前壁心肌梗死患者合并室速室颤后急诊PCI的救治过程,研究急诊PCI对急性前壁心肌梗死合并室性心律失常的治疗效果和安全性。结果 13例中11例患者在急诊PCI后室性心律失常终止,2例在PCI后1d内又有室速的发生,通过加强抗心律失常药物应用后室速消失,经随访1~12个月全部患者无再发恶性心血管事件发生。结论对于急性前壁心肌梗死合并室速室颤患者应尽早血流重建,开通罪犯血管,急诊PCI是终止室性心律失常安全、有效的治疗方法,可显著改善患者预后。

Objective To explore the clinical efficacy and safety of the treatment for anterior wall acute myocardial in- farction combined ventricular tachycardia ventrieular fibrillation by emergency coronary intervention（PCI）. Methods and Results Through retrospective analysis of the treatment process of 13 patients of anterior wall acute myocardial infarc- tion combined ventricular tachycardia ventricular fibrillation With emergency PCI, research the treat efficacy and safety for anterior wall acute myocardial infarction combined ventriculal＂ arrhythmia by emergency coronary intervention. We found that ventricular arrhythmia of t 1 patients with emergency PCI were terminated,ventricular tachycardia reoccured in 2 ca- ses after PCI in 1 days, but disappeared after strengthening anti - arrhythmic drug. All patients without recurrence adverse cardiovascular events in the follow - up from 1 to 12 month. C0nelusion Open the criminal vessels and reeonstructe blood flow by emergency PCI is terminated ventricular arrhythmia Safety and effective method to the patients with anterior wall acute myocardial infarction combined ventricular tachyeardia ventricular fibrillation, can predominance imp^ve pa- tlents＂ prognosis.