预防性置入IABP对急性心梗心源性休克行急诊介入无复流发生的影响

Impact of Pre-operative Intraaortic Balloon Pumping Insertion on the No-reflow Phenomenon During Primary Percutaneous Coronary Intervention in Patients with Cardiogenic Shock Complicating Acute Myocardial Infarction

探讨预防性置入主动脉内球囊反搏(IABP)对急性ST段抬高型心肌梗死(STEMI)并发心源性休克(CS)者行直接经皮冠状动脉介入治疗(PPCI)术中无复流发生的影响。回顾性分析2015年2月~2017年2月郑州大学第一附属医院心血管内科重症监护室(CCU)收治的80例STEMI并发CS行PPCI者,根据术前是否置入IABP分为IABP组(n=48)和非IABP组(n=32)。分析比较两组患者PPCI术中无复流和术后院内主要不良心血管事件(MACE)的发生率。与非IABP组相比,IABP组术中无复流的发生率(10.4%vs.28.1%)和术后院内MACE事件的发生率(37.5%vs.65.6%)均显著降低,差异有统计学意义(P<0.05)。STEMI并发CS者行PPCI,预防性置入IABP可较少PPCI术中无复流和术后院内MACE事件的发生。

To explore the impact of intraaortic balloon pumping( IABP) inserted before primary percutaneous coronary intervention(PPCI) on the occurrence of no-reflow phenomenon in patients with cardiogenic shock( CS) complicating acute ST segment elevation myocardial infarction( STEMI). The authors retrospectively studied 80 patients who had undergone PPCI for CS complicating STEMI in the coronary care unit( CCU) in The First Affiliated Hospital of Zhengzhou University from February 2015 to February 2017. Based on IABP insertion or not before PPCI,the patients were divided into 2 groups: IABP group( n = 48) and non-IABP group( n = 32). Compare the occurrence rate of NR during PPCI and major adverse cardiac events( MACE). Compared with non-IABP group,the occurrence rate of NR( 10.4% vs.28.1%) was lower than that in non-IABP group. MACE incidence in hospital in IABP group is also lower than that in non-IABP group( 37.5% vs.65.6%),all P<0.05. Pre-operative IABP insertion can decrease the occurrence of NR during PPCI and MACE in hospital for patients undergoing PPCI for CS complicating STEMI.