摘要
目的 :通过测定急性心肌梗死 (AMI)延迟冠脉介入治疗 (PCI)患者 EF值变化来评价延迟 PCI对左室重构的影响 ,为延迟 PCI的疗效提供理论依据和客观指标。方法 :AMI后行延迟 PCI的患者 34人为治疗组 ,未行 PCI和溶栓的患者 38人为对照组 ,分别在 AMI后 2周和恢复期做超声心动图测 EF值 ,并进行统计学处理。结果 :两组比较 ,治疗组在恢复期 EF值有显著升高。结论 :AMI后由于左室重构导致 EF值降低 ,延迟 PCI能阻止和改善左室重构。
Objective: To investigate the relation between delayed PCI with AMI and the improvement of left ventricular remodeling depended on changes Echocardiography EF value before and after delayed PCI. This provided an objective standard and theory basis for the delayed PCI in left ventricular remodeling interference. Methods: 72 patients with AMI were divided into delayed PCI group( treatment group, n=34 ) and medical treatment group(control group, n=38). Echocardiography EF value was measured 2 weeks after AMI and the recovery stage. Datum was statistically analyzed. Results: Compare the two groups, The echocardiography EF value were significantly increased for the treated group on the recovery stage. Conclusions: There is left ventricular remodeling taking place after AMI, lead to lower EF value. delayed PCI can help to prevent left ventricular remodeling and improve heart function. It is a good index to value the curative effect of delayed PCI in improving heart function.
出处
《承德医学院学报》
2005年第1期24-26,共3页
Journal of Chengde Medical University
关键词
心肌梗塞
冠状动脉介入治疗
左室重构
acute myocardial infarction(AMI) Percutaneous coronary intervention (PCI)
left ventricular remodeling
