PCI联合血栓抽吸术治疗STEMI对患者术后QT离散度的影响被引量：5

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摘要目的观察急性ST段抬高型心肌梗死(STEMI)患者行急诊经皮冠状动脉介入治疗(PCI)联合血栓抽吸对患者术后QT离散度(QTd)的影响。方法选取因STEMI发作12h内行急诊PCI的患者48例,冠状动脉造影证实罪犯血管内血栓形成。将患者分为PCI联合血栓抽吸组(A组)、单纯PCI组(B组),每组24例。比较PCI术前及术后24h心电图QTd及心率校正的QTd(QTcd);观察术后3个月超声左心室射血分数(LVEF)。结果 PCI术后24h,A组QTd较B组缩短[(38±3)ms vs.(41±4)ms](P<0.05);A组QTcd较B组缩短[(40±3)ms vs.(46±3)ms](P<0.05)。PCI术后3个月两组LVEF差异无统计学意义。结论血栓抽吸联合PCI能为冠状动脉尤其远端微血管提供更有效的再灌注,从而有助于改善STEMI的预后。

作者吴溧兴沈建平娄彬胡政力阎芹陈晓栋谷明林

机构地区江苏省中西医结合医院心血管病科

出处《江苏医药》 CAS 北大核心 2014年第24期3071-3072,共2页 Jiangsu Medical Journal

关键词血栓抽吸心肌梗死经皮冠状动脉介入 QT离散度

分类号 R541 [医药卫生—心血管疾病]

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