Effects of preventive cardiac pacing on hemodynamic and major adverse cardiovascular events during hospitalization in patients with acute inferior wall myocardiac infarction during emergency percutaneous coronary intervention
10.3969/j.issn.1006-5725.2015.18.011
- VernacularTitle:保护性临时起搏对急性下壁心肌梗死急诊经皮冠状动脉介入治疗术中血流动力学和住院期间心血管事件的影响
- Author:
Yu HUANG
;
Xiangjun YANG
;
Jianjun ZHANG
;
Denghai ZHANG
;
Changwu RUAN
;
Gang LIN
- Publication Type:Journal Article
- Keywords:
Myocardiac infarction;
Temporary cardiac pacing;
Percutaneous coronary intervention;
Hemodynamic;
Major adverse cardiovascular events
- From:
The Journal of Practical Medicine
2015;(18):2972-2975
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of preventive cardiac pacing on acute inferior wall myocardiac infarction ( AIMI ) . Methods A total of 52 patients were given preventive cardiac pacing before Percutaneous coronary intervention (PCI) (group T),while another 68 patients were not (group N).Heart rate and average blood pressure level before reperfusion, average blood pressure level after reperfusion,TIMI flow grade before and after reperfusion,the incidence of malignant ventricular arrhythmia after reperfusion and adverse cardiovascular events during hospitalization were compared in two groups. Results There were no significant differences in heart rate before reperfusion , average blood pressure levels before and after reperfusion , and the TIMI flow grade before and after reperfusion between two groups. The malignant ventricular arrhythmia after reperfusion in group T was significantly higher than that in group N while heart failure and nonfatal myocardial infarction were no significantly different between them. Mortality rate and mortality rate of cardiovascular disease in group T were higher than those in group N, but there were no significant differences between them. Conclusions The temporary cardiac pacing has no additional preventive effect on hemodynamic , but increases the occurrence of malignant ventricular arrhythmia , and the risk of death and cardiovascular events.
