期刊论文

Shen, Z.-J.

中文

中华医学杂志

0376-2491

2011

91

4

265-268

10.3760/cma.j.issn.0376-2491.2011.04.013

本校为其他机构

目的评价左室射血分数(LVEF)对接受急诊冠状动脉介入治疗(PCI)急性ST段抬高心肌梗死患者临床预后的影响.方法158例接受了急诊PCI急性ST段抬高心肌梗死患者纳入本研究,根据出院前的LVEF分为3组:≤40%(n=14)、41%-55%(n=46)和>55%(n=98),临床随访平均(43.1+15.2)个月,主要不良心脏事件(MACE)发生15例.结果3组在心肌梗死部位、梗死相关血管、单支血管病变、双支血管病变、CTnI、CK、CK-MB、高血压、糖尿病、高血脂、吸烟、肥胖、阿司匹林和氯吡格雷使用比例、氯吡格雷使用时间的差异均无统计学意义(均P>0.05).在LVEF≤40%和41%- 55%组,平均年龄显著高于LVEF> 55%组(P55%组(P=0.0036); 在LVEF41%- 5...

Objective To evaluate the effect of left ventricular ejection fraction (LVEF) on clinical outcomes in patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Methods A total of 158 patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention between January 2005 to December 2007were enrolled. They were divided into three groups: LVEF ≤40% ( n = 14), LVEF 41% - 55 % ( n = 46)and LVEF ＞ 55% group ( n = 98 ). The clinical follow-...