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超敏C反应蛋白和脂蛋白(a)对急性心肌梗死行急诊冠状动脉介入治疗预后的意义
引用本文:彭毅,陈志楠,蒋桔泉,龚志刚,李志刚,卢青,王仁学,丁世芳. 超敏C反应蛋白和脂蛋白(a)对急性心肌梗死行急诊冠状动脉介入治疗预后的意义[J]. 临床心血管病杂志, 2011, 27(2)
作者姓名:彭毅  陈志楠  蒋桔泉  龚志刚  李志刚  卢青  王仁学  丁世芳
作者单位:广州军区武汉总医院心内科,武汉,430070
摘    要:目的:研究超敏C反应蛋白(hsCRP)和脂蛋白(a)[Lp(a)]对急性心肌梗死行急诊冠状动脉介入治疗(PCI)患者预后的意义。方法:回顾我院自2007-01-2010-04因急性心肌梗死行急诊PCI的118例患者的hsCRP及Lp(a)水平,对hsCRP升高组和正常组以及Lp(a)升高组和正常组在住院期间心血管事件的发生率进行比较。结果:hsCRP升高组心血管事件发生率为52.9%,而hsCRP正常组心血管事件发生率为18.2%,两者比较差异具有统计学意义(P<0.05)。而Lp(a)升高组心血管事件发生率为35.3%,Lp(a)正常组事件发生率为46.4%,两者差异无统计学意义(P>0.05)。结论:hsCRP可作为急性心肌梗死行急诊PCI患者的近期预后的预测因子,而Lp(a)对这类患者的预后无预测作用。

关 键 词:心肌梗死  血管成形术  经腔  经皮冠状动脉  超敏C反应蛋白  脂蛋白(a)  

Prognostic significance of high sensitivity C-reactive protein and lipoprotein (a) in patients received primary percutaneous coronary intervention after actue myocardial infarction
PENG Yi,CHEN Zhinan,JIANG Juquan,GONG Zhigang,LI Zhigang,LU Qing,WANG Renxue,DING Shifang. Prognostic significance of high sensitivity C-reactive protein and lipoprotein (a) in patients received primary percutaneous coronary intervention after actue myocardial infarction[J]. Journal of Clinical Cardiology, 2011, 27(2)
Authors:PENG Yi  CHEN Zhinan  JIANG Juquan  GONG Zhigang  LI Zhigang  LU Qing  WANG Renxue  DING Shifang
Affiliation:PENG Yi CHEN Zhinan JIANG Juquan GONG Zhigang LI ZhigangLU Qing WANG Renxue DING Shifang(Department of Cardiology,Wuhan General Hospital,Guangzhou Military Command,PLA,Wuhan,430070,China)
Abstract:Objective:To study the prognostic significance of high sensitivity C-reactive protein(hsCRP) and lipoprotein(a) in patients received primary percutaneous coronary intervention(PCI) after acute myocardial infarction.Method:We reviewed 118 patients received primary PCI after acute myocardial infarction from January 2007 to April 2010 and their plasma hsCRP and Lp(a) concentration.The cardiovascular event incidence is compared between the hsCRP-elevated group and the hsCRP-normal group,so did between the Lp(a)...
Keywords:myocardial infarction  percutaneous coronary intervention  high sensitivity C-reactive protein  lipoprotein a  
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