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急性心肌梗死PCI后早期T波改变与冠脉病变的关系 被引量：2

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摘要 目的:探讨急性心肌梗死行PCI治疗后,早期T波改变与冠脉病变支数关系。方法:60例急性心肌梗死行立即和(或)择期PCI治疗,根据冠脉造影结果分为单支病变组和多支病变组,24h内心电图动态变化分T波倒置组和未倒置组。结果:60例急性心肌梗死患者,手术全部成功,犯罪血管再通,TIMI3级58例,2级2例,植入支架1～5枚不等,24h内T波倒置33例,T波未倒置27例;早期T波倒置是否明显与冠状动脉病变支数有统计学意义。出院后,59例患者门诊随访24～48个月不等,2例原先冠状动脉多支病变,因再次胸痛入院行冠状动脉造影及支架术。结论:急性心肌梗死,心电图早期T波改变与冠脉病变支数有密切关系。
作者 周林海 张怀勤 黄伟剑 林捷
机构地区 温州医学院第一附属医院心内科
出处 《温州医学院学报》 CAS 2006年第6期566-567,共2页 Journal of Wenzhou Medical College
关键词 心肌梗死 心电图 冠状动脉
分类号 R541.4 [医药卫生—心血管疾病]
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参考文献6

  • 1胡大一,李瑞杰,郭成军,郭晋萍,贾三庆,李田昌,商丽华.持续监测ST段对评估急性心肌梗死早期梗死相关动脉动态变化的意义[J].中华心血管病杂志,2001,29(5):277-279. 被引量：12
  • 2Simoes MV,Barthel P,Matsunari I,et al.Presence of sympathetically denervated but viable myocardium and its electrophysiologic correlates after early revascularised,acute myocardial infarctionl[J].Eur Heart J,2004,25(7):551-557.
  • 3李晶洁,曲秀芬,岳乐,喜杨,谷宏越,王桂照,黄永麟.心肌梗死后区域性神经支配异常及其对心室复极影响的实验研究[J].中华医学杂志,2006,86(2):98-101. 被引量：4
  • 4Lee SG,Cheong JP,Shin JK,et al.Persistent ST-segment elevation after primary stenting for acute myocardial infarction:its relation to left ventricular recovery[J].Clin Cardiol.2002,25(8):372-377.
  • 5Feldman LJ,Coste P,Furber A,et al.Incomplete Resolution of ST-segment elevation is a marker of transient Microcirculatory dysfunction after stenting for acute myocardial Infarction[J].Circulation,2003,107(21):2684-2689.
  • 6Grines C,Patel A,Simes RJ,et,al.Primary coronary angioplasty compared with intravenous thrombolytic therapy for acute myocardial infarction:six-month follow up and analysis of individual patient data from randomized trials[J].Am Heart J,2003,145(1):47-57.

二级参考文献3

共引文献14

同被引文献11

  • 1Jacobsen MD,Wagner GS,Holmvang L. Quantitative T-wave analysis predicts 1 year prognosis and benefit from early invasive treatment in the FRISC II study population[J].European Heart Journal,2005.112-118.
  • 2Hochrein J,Sun F,Pieper KS. Higher T-wave amplitude associated with better prognosis in patients receiving thrombolytic therapy for acute myocardial infarction (a GUSTO-I substudy).Global utilization of streptokinase and tissue plasminogen activator for occluded coronary arteries[J].American Journal of Cardiology,1998.1078-1084.
  • 3Adler Y,Zafrir N,Ben-Gal T. Relation between evolutionary ST segment and T-wave direction and electrocardiographic prediction of myocardial infarct size and left ventricular function among patients with anterior wall Q-wave acute myocardial infarction who received reperfusion therapy[J].American Journal of Cardiology,2000.927-933.
  • 4Sgarbossa EB,Meyer PM,Pinski SL. Negative T waves shortly after ST-elevation acute myocardial infarction are a powerful marker for improved survival rate[J].American Heart Journal,2000.385-394.
  • 5Corbalan R,Prieto JC,Chavez E. Bedside markers of coronary artery patency and short-term prognosis of patients with acute myocardial infarction and thrombolysis[J].American Heart Journal,1999,(3Pt1):533-539.
  • 6Scirica BM,Morrow DA,Sadowski Z. A strategy of using enoxaparin as adjunctive antithrombin therapy reduces death and recurrent myocardial infarction in patients who achieve early ST-segment resolution after fibrinolytic therapy:the ExTRACT-TIMI 25 ECG study[J].European Heart Journal,2007.2070-2076.
  • 7Atar S,Barbagelata A,Birnbaum Y. Electrocardiographic diagnosis of ST-elevation myocardial infarction[J].Cardiology Clinics,2006.343-365.
  • 8Hamada S,Nishiue T,Nakamura S. TIMI frame count immediately after primary coronary angioplasty as a predictor of functional recovery in patients with TIMI 3 reperfused acute myocardial infarction[J].Journal of the American College of Cardiology,2001.666-671.
  • 9宋金旺,陈宝辉.探讨急性心肌梗死溶栓治疗后早期T波倒置的临床意义[J].中国医药指南,2015,13(22):66-67. 被引量：2
  • 10宋志新.心电图在急性心肌梗死诊断中的临床价值分析[J].中国现代药物应用,2015,9(24):45-46. 被引量：11

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二级引证文献17

温州医学院学报
2006年 第6期

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