心肌梗死经皮冠状动脉介入治疗远期疗效分析

被引：12

作者：

谢秀峰

崔晓迎

陈凤英

赵王磊

机构：

[1] 内蒙古医学院附属医院急救中心

来源：

中国动脉硬化杂志 | 2013年 / 01期

关键词：

心肌梗死; 经皮冠状动脉介入治疗; 治疗结果;

D O I：

暂无

中图分类号：

R542.22 [];

学科分类号：

摘要：

目的评价并分析急性心肌梗死不同时间经皮冠状动脉介入治疗(PCI)术后的远期结果。方法共873例急性ST段抬高型心肌梗死患者接受PCI治疗,除住院期间死亡的11例患者,共随访862例。根据行PCI时间的不同,分为急诊PCI组、补救性PCI组及择期PCI组。随访记录患者出院后死亡、主要心脑血管不良事件及心绞痛情况。Cox回归模型分析各组患者发生不良事件的风险。结果随访4.26～5.25年(平均随访4.93年),Cox回归分析显示择期PCI组死亡及心衰发生率明显高于急诊PCI组及补救性PCI组(P<0.05);年龄、吸烟、糖尿病、冠状动脉病变数量及左心室射血分数与PCI预后密切相关。结论年龄、吸烟、糖尿病、冠状动脉病变数量及左心室射血分数多因素参与PCI预后,急性心肌梗死急诊PCI及补救性PCI治疗较择期PCI治疗的远期疗效好。

引用

页码：69 / 73

页数：5

共 23 条

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