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PCI治疗缺血性心肌病对GATA4蛋白表达的影响 被引量:3

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摘要 目的 探讨经皮冠状动脉介入治疗(PCI)对缺血性心肌病患者转录因子GATA结合蛋白4(GATA4)蛋白表达的影响,从而推测其治疗缺血性心肌病的可能机制.方法 将126例缺血性心肌病患者按治疗方法分为PCI治疗组(62例)和药物治疗组(64例).PCI治疗组接受PCI治疗和药物治疗;药物治疗组接受单纯药物治疗,两组均随访6个月.两组患者在治疗前和治疗后观察血清GATA4蛋白浓度、超声心动图检测左室舒张末内径、室间隔舒张末厚度、左室后壁舒张末厚度及左室射血分数等指标,根据Devereux公式计算左室心肌质量及左室心肌质量指数.结果 入选时两组基本资料比较差异无统计学意义(P>0.05).治疗6个月后,与药物治疗组比较,PCI组血清GATA4蛋白浓度明显降低(P<0.01),左室舒张末内径减小、左室心肌质量及左室心肌质量指数减少(P<0.01),左室射血分数显著增加(P<0.01).结论 PCI治疗缺血性心肌病患者,能逆转心肌重构,改善患者心功能,可能与GATA4蛋白水平下降有关.
出处 《中国医师杂志》 CAS 2015年第9期1410-1412,共3页 Journal of Chinese Physician
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