| 急性心肌梗死直接PCI术后ST段回落对预后的影响 |
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| 引用本文： | 耿蓬勃,;王爽,;徐晓辉,;杨宏伟,;张雪薇. 急性心肌梗死直接PCI术后ST段回落对预后的影响[J]. 康复与疗养杂志, 2008, 0(4): 326-328 |
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| 作者姓名： | 耿蓬勃, 王爽, 徐晓辉, 杨宏伟, 张雪薇 |
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| 作者单位： | [1]西安市西电集团医院心脏中心,陕西西安710077; [2]陕西中医学院2004级心血管内科研究生,陕西西安710077; |
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| 摘 要： | 目的探讨急性心肌梗死直接PCI术后半年内ST段变化对预后的评估意义。方法接受直接PCI的病人51例，按介入治疗后2周抬高的ST段有无回到等电位线，分为A组（35例）和B组（16例）。比较两组病人临床治疗效果和心功能情况。结果B组病人在术后半年易出现急性左心衰竭、易发生室壁瘤。结论急性心肌梗死直接PCI术后半年内ST段变化，可反映心肌再灌注治疗后的微循环情况，是预测临床预后和检出高危病人的简便而可靠的方法。
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| 关 键 词： | 心肌梗死 血管成形术,经腔,经皮冠状动脉 心电描记术 |
THE INFLUENCE OF CHANGES OF ST SEGMENT ON PROGNOSIS OF ACUTE MYOCARDIAL INFARCTION AFTER PRIMARY PCI |
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| Affiliation: | GENG PENG-BO, WANG SHUANG, XU XIAO-HUI, et al (Department of Cardiology, Xidian Hospital, Xi＇ an 710077, China) |
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| Abstract: | Objective To assess the significance of ST segment changes after primary PCI for acute myocardial infarction （AMI）. Methods Fifty-one AMI patients were divided into group A （35 cases） and group B （16 cases） based on whether the elevated ST segment returned to isoelectric level after two weeks of primary PCI, the efficacy and heart function of the two groups were compared. Results Patients in group B were readily to suffer from acute left heart failure and ventricular aneurysm. Conclusion The changes of ST segment after six months of primary PCI for AMI reflect the microcirculation of the heart muscle, which is a convenient and reliable method for prediction of the prognosis and detection of high risk patients. |
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| Keywords: | Myocardial infarction Angioplasty, transluminal, percutaneous coronary Electrocardiography |
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