非ST段抬高和ST段抬高心肌梗死患者介入结果的比较

被引：20

作者：

康俊萍

马长生

吕强

聂绍平

刘新民

刘小慧

杜昕

胡荣

张崟

董建增

机构：

[1] 首都医科大学附属北京安贞医院心内科

来源：

中华急诊医学杂志 | 2010年 / 11期

关键词：

心肌梗死; ST段; 经皮冠状动脉介入; 预后;

D O I：

暂无

中图分类号：

R542.22 [];

学科分类号：

摘要：

目的了解接受PCI治疗的ST段抬高心肌梗死(STEMI)和非ST段抬高急性心肌梗死(NSTEMI)患者的近期和长期预后。方法 DESIREⅡ为单中心回顾性注册研究,入选2003年7月1日至2005年9月30日在北京安贞医院接受血运重建治疗的6005例患者,2006年9月1日到11月30日对患者进行电话或门诊随访。入选其中接受PCI的STEMI和NSTEMI患者,通过生存分析比较两组之间的预后情况。不良心脑血管事件(MACCE)包括全因死亡、非致死性心肌梗死、非致死性卒中和再次血运重建。结果共1009例患者,其中STEMI患者803例,NSTEMI患者206例,NSTEMI的患者高血压病史、陈旧心肌梗死和血运重建病史的比例高,处理多支病变的比例高(43.7%比34.4%,P=0.039),完全血运重建率高;两组患者的院内死亡率和MACCE发生率及长期预后(1年死亡率分别为96%和98%)差异无统计学意义,对长期预后有影响的因素为LVEF和血肌酐。结论接受PCI的STEMI和NSTEMI患者临床情况有所差异,但是近期和长期预后相似。

引用

共 6 条

[1]

Comparison of Long-Term Mortality After Percutaneous Coronary Intervention in Patients Treated for Acute ST-Elevation Myocardial Infarction Versus Those With Unstable and Stable Angina Pectoris [J].

Hirsch, Alexander ;

Verouden, Niels J. W. ;

Koch, Karel T. ;

Baan, Jan, Jr. ;

Henriques, Jose P. S. ;

Piek, Jan J. ;

Rohling, Wim J. ;

van der Schaaf, Rene J. ;

Tijssen, Jan G. P. ;

Vis, Marije M. ;

de Winter, Robbert J. .

AMERICAN JOURNAL OF CARDIOLOGY, 2009, 104 (03) :333-337

[2]

Reperfusion therapy for acute ST-elevation and non ST-elevation myocardial infarction: What can be achieved in daily clinical practice in unselected patients at an interventional center?.[J].Ralf Zahn;Fabienne Schweppe;Uwe Zeymer;Rudolf Schiele;Anselm Kai Gitt;Bernd Mark;Birgit Frilling;Karlheinz Seidl;Ralf Winkler;Tobias Heer;Steffen Schneider;Jochen Senges.Acute Cardiac Care.2009, 2

[3]

Long-Term Mortality of Patients Undergoing Cardiac Catheterization for ST-Elevation and Non–ST-Elevation Myocardial Infarction.[J].Mark Y. Chan;Jie L. Sun;L Kristin Newby;Linda K. Shaw;Min Lin;Eric D. Peterson;Robert M. Califf;David F. Kong;Matthew T. Roe.Circulation.2009, 24

[4]

Trends in presenting characteristics and hospital mortality among patients with ST elevation and non-ST elevation myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006 [J].

Rogers, William J. ;

Frederick, Paul D. ;

Stoehr, Edna ;

Canto, John G. ;

Ornato, Joseph P. ;

Gibson, C. Michael ;

Pollack, Charles V., Jr. ;

Core, Joel M. ;

Chandra-Strobos, Nisha ;

Peterson, Eric D. ;

French, William J. .

AMERICAN HEART JOURNAL, 2008, 156 (06) :1026-1034

[5]

Twenty-two year (1975 to 1997) trends in the incidence, in-hospital and long-term case fatality rates from initial Q-wave and non-Q-wave myocardial infarction: A multi-hospital community-wide perspective [J].

Furman, MI ;

Dauerman, HL ;

Goldberg, RJ ;

Yarzbeski, J ;

Lessard, D ;

Gore, JM .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (06) :1571-1580

[6]

Myocardial infarction redefined -: A consensus Document of the Joint European Society of Cardiology/American College of Cardiology Committee for the Redefinition of Myocardial Infarction [J].

Alpert, JS ;

Antman, E ;

Apple, F ;

Armstrong, PW ;

Bassand, JP ;

de Luna, AB ;

Beller, G ;

Breithardt, G ;

Chaitman, BR ;

Clemmensen, P ;

Falk, E ;

Fishbein, MC ;

Galvani, M ;

Garson, A ;

Grines, C ;

Hamm, C ;

Jaffe, A ;

Katus, H ;

Kjekshus, J ;

Klein, W ;

Klootwijk, P ;

Lenfant, C ;

Levy, D ;

Levy, RI ;

Luepker, R ;

Marcus, F ;

Näslund, U ;

Ohman, M ;

Pahlm, O ;

Poole-Wilson, P ;

Popp, R ;

Alto, P ;

Pyörälä, K ;

Ravkilde, J ;

Rehnquist, N ;

Roberts, W ;

Roberts, R ;

Roelandt, J ;

Rydén, L ;

Sans, S ;

Simoons, ML ;

Thygesen, K ;

Tunstall-Pedoe, H ;

Underwood, R ;

Uretsky, BF ;

Van de Werf, F ;

Voipio-Pulkki, LM ;

Wagner, G ;

Wallentin, L ;

Wijns, W .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (03) :959-969

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