Influencing factors of myocardial perfusion after percutaneous coronary intervention in elderly patients
10.7619/jcmp.201711003
- VernacularTitle:老年急诊冠状动脉介入术后心肌灌注的影响因素
- Author:
Qinghou ZHENG
1
;
Weiwei XU
;
Zhen WANG
;
Jun LIU
;
Lei GAO
;
Huilian TAN
;
Ling LIU
Author Information
1. 河北医科大学第一医院
- Keywords:
STEMI;
coronary intervention;
myocardial perfusion;
influencing factors
- From:
Journal of Clinical Medicine in Practice
2017;21(11):8-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study and discuss influencing factors of the elderly with ST elevation myocardial infarction (STEMI) underwent emergency percutaneous coronary intervention (PCI) after myocardial perfusion.Methods A total of 168 STEMI patients in our hospitalwere divided into total perfusion (CMP) group,reperfusion (PMP) group and non perfusion (NMP) group according to the integral contrast perfusion (APS) scores,including 54 cases in CMP group,96 cases in PMP group and 18 cases in NMP group.General information,coronary angiography and PCI results were compared,and the influencing factors of myocardial perfusion after primary PCI were compared by Logistic regression analysis.Results The general data showed significant difference in admission blood glucose,Killip grade,preinfarction angina incidence and balloon opening time,peak value of creatine kinase isoenzyme (CK-MB) and creatine kinase (CK) (P<0.05);In addition,there was significant difference in high thrombus load rate (P<0.05);Logistic regression analysis showed that the intravenous infusion of tirofiban,pre infarction angina,admission blood glucose,high thrombus load and onset to balloon time were factors affecting myocardial perfusion for PCI patients (P<0.05).Conclusion Blood glucose,intravenous infusion of tirofiban,preinfarction angina,high thrombus load and the onset to balloon time on admission are influencing factors for elderly STEMI patients after undergoing PCI myocardial perfusion.
