摘要
目的分析不同梗死部位急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)后心肺运动试验(CPET)指标的特点。方法选取自2016年9月至2018年9月于北部战区总医院接受PCI治疗且行CPET检查的106例STEMI患者为研究对象。根据心肌梗死部位将患者分为前壁心肌梗死组(n=43)和非前壁心肌梗死组(n=63)。比较两组患者的基线资料、CPET执行方案与检查数据的结果。结果两组患者基线资料比较,差异无统计学意义(P>0.05)。两组患者终止CPET原因中的疲乏无力比例、达次级量心率比例比较,差异有统计学意义(P<0.05)。两组患者CPET执行方案中的Borg评分比较,差异有统计学意义(P<0.05)。非前壁心肌梗死组静息心率、峰值摄氧量、最大通气量高于前壁心肌梗死组,两组比较,差异有统计学意义(P<0.05)。结论不同梗死部位STEMI患者的CPET指标存在明显差异,前壁心肌梗死患者具有较差的运动耐力及呼吸储备功能。
Objective To analyze cardiopulmonary exercise testing(CPET)data of patients with acute ST-segment elevation myocardial infarction(STEMI)at different infarct location after percutaneous coronary intervention(PCI).Methods A total of 106 STEMI patients who received CPET after PCI in General Hospital of Northern Theater Command from September 2016 to September 2018 were included.According to the location of myocardial infarction,patients were divided into anterior myocardial infarction group(n=43)and non-anterior myocardial infarction group(n=63).To compare the differences of baseline data,CPET scheme and examination data of patients under different grouping standards.Results There was no significant difference in baseline data between two groups(P>0.05).There were statistically significant differences between the two groups in the proportion of fatigue and the proportion of heart rate to secondary volume in reasons for termination of CPET(P<0.05).Comparison of Borg score in CPET execution plan between the two groups showed statistically significant difference(P<0.05).The resting heart rate,peak oxygen uptake,and maximum ventilatory volume of the non-anterior wall myocardial infarction group were higher than those of the anterior wall myocardial infarction group,and the differences between the two groups were statistically significant(P<0.05).Conclusion The CPET index of STEMI patients with different infarction sites was significantly different,and patients with anterior wall myocardial infarction had poor exercise endurance and respiratory reserve function.
作者
刘美丽
那堃
李宇珊
李毅
梁振洋
张剑
韩雅玲
LIU Mei-li;NA Kun;LI Yu-shan;LI Yi;LIANG Zhen-yang;ZHANG Jian;HAN Ya-ling(Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Department of Cardiology,General Hospital of Northern Theater Command,Shenyang 110016,China)
出处
《临床军医杂志》
CAS
2022年第6期554-557,共4页
Clinical Journal of Medical Officers
基金
立信扬帆优化抗栓科研基金(BJUHFCSOARF201801-04)
沈阳市科学技术计划(21-173-9-66)
关键词
急性ST段抬高型心肌梗死
经皮冠状动脉介入治疗
心肺运动试验
心脏康复
Acute ST-segment elevation myocardial infarction
Percutaneous coronary intervention
Cardiopulmonary exercise testing
Cardiac rehabilitation
作者简介
第一作者:刘美丽(1983-),女,辽宁沈阳人,副主任医师;通信作者:韩雅玲,E-mail:hanyaling@163.net
