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梗塞前心绞痛对急性心梗急诊冠脉介入术中再灌注心律失常的影响
引用本文:徐广马,黄从新,王风,林英忠,袁军,刘伶,伍广伟.梗塞前心绞痛对急性心梗急诊冠脉介入术中再灌注心律失常的影响[J].中国医学文摘:老年医学,2007,16(1):1-2.
作者姓名:徐广马  黄从新  王风  林英忠  袁军  刘伶  伍广伟
作者单位:武汉大学人民医院,武汉430060
摘    要:目的:探讨梗塞前心绞痛对急性心肌梗死急诊冠脉介入(PCI)治疗术中再灌注心律失常的影响。方法:对220例急性心肌梗死患者直接行PCI术,按梗死前48小时内有无心绞痛发作分为A组(有心绞痛)106例;B组(无心绞痛)114例,观察术中再灌注心律失常的发生情况。结果:A组室性心律失常发生率低于B组(P〈0.05)。结论:梗塞前心绞痛通过缺血预适应保护心肌,减少术中再灌注心律失常的发生。

关 键 词:梗塞前心绞痛  心肌梗死  冠脉介入  再灌注心律失常

Influence of previous angina pectoris on arrythmia in patients with acute my- ocardial infarction by PCI
Authors:XU Guang - ma  HUANG Cong- xin  WANG Feng  LIN Ying - zhong  YUAN Jun  LIU Ling  WU Guang - wei
Institution:XU Guang-ma HUANG Cong-xin WANG Feng LIN Ying-zhong YUAN Jun LIU Ling WU Guang-wei
Abstract:Objection To explore the effect between previous angina pectoris and reperfusion arrythmia in patients with Acute Myocardial Infarction (AMI) by PCI. Methods Two hundred and twenty AMI patients underwent direct PCI, divided into two groups according to present or absence of previous angina, observation were made in the context of the different arrythmias. Results Compared with control group,patients with previous angina pectoris had lower rate of reperfusion arrythmia. Conclusions Previous angina pectoris would protect the myocardial and reduce the AMI and reperfusion arrythmia.
Keywords:Previous angina pectoris  AMI  PCI  Reperfusion arrythmia
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