摘要
目的分析冠状动脉侧支循环(CCC)对ST段抬高型急性心肌梗死(STEMI)患者急诊经皮冠状动脉介入治疗(PCI)后心肌再灌注的影响。方法回顾性分析2017年1月—2020年5月在本院接受急诊PCI的130例STEMI患者的临床资料,根据冠状动脉造影(CAG)结果分成两组,其中Rentrop分级0级97例归为无侧支循环组;Rentrop分级≥1级的33例归为有侧支循环组。比较两组患者PCI后不良心血管事件(MACE)的发生情况,并进行统计学分析。结果与无侧支循环组相比,有侧支循环组发生无复流、心力衰竭、恶性心律失常和心源性休克的情况更低,均有统计学差异。结论侧支循环存在可减少STEMI患者PCI后心肌再灌注MACE的发生率。
Objective To analyze the effect of coronarycollateral circulation(CCC)on ST segment elevated acute myocardial infarction(STEMI)after emergency percutaneous coronary intervention(PCI)for reperfusion therapy.Methods A total of 130 patients WITH STEMI those who received emergency PCI in our hospital from January 2017 to May 2020 were reviewed.According to the results of coronary angiography(CAG),they were divided into two groups.33 patients with Rentrop grade≥1 were classified as collateral circulation group,the other 97 cases were divided into non-collateral circulation group.The occurrence of adverse cardiovascular events(MACE)after PCI in the two groups was compared and statistically analyzed.Results Compared with the group without collateral circulation,the incidence of no reflow,heart failure,malignant arrhythmia and cardiogenic shock was lower in the group with collateral circulation,and the differences were statistically significant.Conclusions The presence of collateral circulation could reduce the incidence of myocardial reperfusion induced MACE after PCI in STEMI patients.
作者
魏春娥
方志敏
高洁
阳攀
WEI Chun-e(The second affiliated hospital of Xinjiang Medical University,Urumqi,Xinjiang,830000,China)
出处
《齐齐哈尔医学院学报》
2020年第20期2549-2551,共3页
Journal of Qiqihar Medical University
关键词
侧支循环
急性心肌梗死
再灌注
Collateral circulation
Acute myocardial infarction
Reperfusion
