摘要
目的分析高龄ST段抬高型急性心肌梗死(STEMI)患者临床特征及评价直接冠状动脉介入治疗(直接PCI)的疗效。方法选择直接行PCI治疗STEMI患者121例,75岁以上47例为高龄组,同期60～74岁74例为对照组。观察两组患者临床特征、直接PCI术成功率、心电图ST段回落、心绞痛改善、住院期间主要不良心脏事件(MACE)发生率。结果高龄组、对照组直接PCI术后即刻成功率分别为97.87%、97.30%,术后2 h心电图ST段回落≥50%分别为78.72%、72.92%,术后心绞痛明显改善率分别为88.11%、86.49%,住院期间MACE发生率分别为2.12%、2.70%;两组以上观察指标比较差异无统计学意义。结论STEMA急性闭塞病变行直接PCI治疗时植入支架近期临床疗效显著,且成功率及安全性均较高。
Objective To analyze the clinical feature of older patients with AMI and to assess the curative effect of primary PCI. Methods Forty-seven patients over 75 with ST-segment elevation myocardial infarction who had undergone primary PCI were chosen as elders group ,74 patients who range from 60 to 74 years old underwent primary PCI were chosen as control group. Some indexes were observed as followed： the differences of clinical feature, the success rate of primary PCI, TIMI blood flow after primary PCI, the resolution of ST-segment elevation, the improvement of chest pain, the major adverse cardiac event during the hospitalization. Results The primary PCI procedural success rate was 97.87% in elders group and 97.30% in control group,and TIMI blood flow 2-3 grade after PCI were 95.75% and 94.59%, respectively. The resolution of ST-segment elevation 〉 50% was found in 78.72% patients in elders group and 72.92% patients in control group, the improvement of chest pain was told by 88.11% and 86.49% patients, respectively. The incidence of MACE in hospital was 2.12 and 2.70% ,respectively. Conclusion The procedural success rate of primary PCI with DES in elder patients with STEMI is high and the primary PCI for the elders within short period is effective and safe.
出处
《山东医药》
CAS
北大核心
2008年第46期4-6,共3页
Shandong Medical Journal
关键词
发病年龄
心肌梗死
急性
ST段抬高型
血管成形术
经腔
经皮冠状动脉
age of onset
myocardial infraction, acute, ST-segment elevation
angioplasty, transluminal, pereutaneous coronary
