Relationship between infarct location and prognosis after emergency percutaneous coronary intervention in patients with acute myocardial infarction
- VernacularTitle:梗死部位对急诊经皮冠状动脉介入治疗患者预后的影响
- Author:
Guohong YE
;
Xiangjun YANG
;
Jianping SONG
;
Tingbo JIANG
;
Xun LI
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Infarct location;
Percutaneous coronary intervention
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(10):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between infarct location and prognosis after emergency percutaneous coronary intervention (PCI) treatment in patients with acute myocardial infarction.Methods Consecutive 121 patients with ST elevation myocardial infarction (STEMI) who underwent primary PCI were divided into 3 groups according to the infarct location.Their clinical,ECG,echocardiography and coronary angiography features were analyzed,and the follow-up was made. Results Compared with inferior wall infarction group and inferior wall infarction combined with right ventricular infarction group,anterior wall myocardial infarction group had higher CPK-MB and cTnT,less frequent collateral,reduced ST-segment resolution,higher mortality rates in hospitalization and one year after discharge.On the other hand,inferior infarction combined with right ventricular infarction group had more occurrences of shock and atrial vetricular block or ventricular arrhythmia,more incidence of multivessel disease and thrombus,and higher readmission rate.Conclusion Patients with anterior wall myocardial infarction and inferior wall in
