摘要
目的分析PCI治疗急性心肌梗死患者后心电图ST段回落和近期预后的相关性。方法选择行PIC治疗的急性心肌梗死患者120例为研究对象,60例治疗后2h心电图相关导联ST段抬高总和(ΣSTR)下降≥50%(A组)和60例治疗后2 h心电图相关导联ST段抬高总和下降<50%(B组),比较两组患者TIMI血流分级、FVEF和心脏不良事件几率,并对心脏不良事件发生因素进行Logistic回归分析。结果术后1周A组患者LVEF高于B组,心脏不良事件发生几率低于B组,差异有统计学意义(P<0.05)。治疗后2 h心电图相关导联ST段抬高总和、糖尿病和发病至IRA再通时间是心脏不良事件发生的主要因素。结论心电图ST段反应心肌再灌注的效果好,可作为经PCI治疗后患者评价患者预后质量的指标。
Objective To analyze the correlation between electrocardiogram ST segment recede and short- term prognosis for patients with acute myocardial infarction. Methods 120 cases of patients with acute myocardial infarction and received the treatment of PIC were enrolled in the study,the 60 cases of patients with the ST segment declined ≥ 50% were divided into group A and the other 60 cases with ST segment declined 50% were in group B. Compared TIMI blood flow grading,and FVEF and the incidence of bad heart event of the two groups,and Logistic regression analysis was carried out on the factors induced bad heart event. Results 1week after the treatment,LVEF of group A was higher than group B,cardiac adverse events incidence was lower than in Group B,there was a statistically significant difference（ P〈0. 05）. ST segment elevation,diabetes,the time between attack and IRA repatency were the main factor induced cardiac adverse events. Conclusions ST segment of the electrocardiogram has good response on myocardial reperfusion, can be used as prognostic indicators of the quality of patients after PCI therapy.
出处
《齐齐哈尔医学院学报》
2015年第33期5010-5011,共2页
Journal of Qiqihar Medical University
关键词
PIC
急性心肌梗死
ST段抬高
PIC
Acute myocardial infarction
ST-segment elevation
