急性心梗行直接冠脉介入术中再灌注性心律失常的临床特点及预后的影响

Clinical Characteristics And Prognosis of Reperfusion Arrhythmias in Patients with Acute Myocardial Infarction Undergoing Direct Coronary Intervention

目的探讨急性心梗患者行直接冠脉介入术中再灌注性心律失常的临床特点及对预后的影响。方法选取2023年1月至2024年1月期间在高阳县医院接受直接冠脉介入术治疗的40例急性心梗患者,记录术中再灌注性心律失常发生情况,分析其临床特点,观察再灌注性心律失常对患者预后的影响。结果40例患者中,15例在术中出现再灌注性心律失常,最常见的类型为室性早搏,共10例;其次为室性心动过速,共3例;较少见的为心室颤动,共2例;再灌注性心律失常主要发生在直接冠脉介入术中血管再通后的5~30 min内。患者年龄、性别、病变部位等因素与再灌注性心律失常的发生均具有一定的相关性。在预后方面,发生再灌注性心律失常的患者在短期和长期内均表现出心功能恢复较差、并发症发生率较高的特点。结论急性心梗患者行直接冠脉介入术中再灌注性心律失常的发生具有一定的临床特点,对患者预后具有显著影响。临床应加强对再灌注性心律失常的监测和干预,以改善患者预后。

Objective:To Objective to investigate the clinical characteristics of reperfusion arrhythmia in patients with acute myocardial infarction during direct coronary intervention and its influence on prognosis Methods:Forty patients with acute myocardial infarction who received direct coronary intervention in Gaoyang County Hospital from January 2023 to January 2024 were selected,and the occurrence of reperfusion arrhythmia during operation was recorded,and its clinical characteristics were analyzed to observe the influence of reperfusion arrhythmia on the prognosis of patients.Results:Among the 40 patients,15 cases had reperfusion arrhythmia during operation,and the most common type was ventricular premature beat,with 10 cases in total.Followed by ventricular tachycardia,3 cases in total;Ventricular fibrillation was rare in 2 cases.Reperfusion arrhythmia mainly occurs within 5~30 min after recanalization in direct coronary intervention.The age、sex、lesion site and other factors are related to the occurrence of reperfusion arrhythmia.In terms of prognosis,patients with reperfusion arrhythmia have the characteristics of poor recovery of cardiac function and high incidence of complications in both short and long term.Conclusion:The occurrence of reperfusion arrhythmia in patients with acute myocardial infarction during direct coronary intervention has certain clinical characteristics and has a significant impact on the prognosis of patients.Clinical monitoring and intervention of reperfusion arrhythmia should be strengthened to improve the prognosis of patients.