Clinical characteristics of reperfusion arrhythmia during direct percutaneous coronary intervention in ;AMI patients and its influence on prognosis
10.3969/j.issn.1008-0074.2017.01.25
- VernacularTitle:急性心梗行直接冠脉介入术中再灌注性心律失常的临床特点及预后的影响
- Author:
Hongling LIU
- Keywords:
Myocardial infarction;
Angioplasty,balloon,coronary;
Arrhythmias,cardiac
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2017;26(1):94-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore clinical characteristics of reperfusion arrhythmia (RA) during direct percutaneous coronary intervention (PCI ) in patients with acute myocardial infarction (AMI ) and its influence on prognosis . Methods :Clinical data of 180 AMI patients undergoing direct PCI in our hospital from Jan 2013 to Dec 2014 were retrospectively analyzed .Results:RA rate in 112 patients was 62.22% and it's correlated with age (r=0.614 ,P=0.026) ,the age is more older ,the RA rate is more higher .Compared with multi -vessel coronary disease patients , there was significant rise in incidence rate of RA (48.33% vs .69.17% , P=0.021) in single -vessel disease pa‐tients ;compared with left anterior descending group and left circumflex group ,there was significant rise in inci‐dence rate of RA (61.67% vs .53.33% vs .71.67% ) in right coronary artery group ,and there was significant difference between any two groups , P<0.05 all .Compared with patients with coronary recanalization within 6~12h ,there was significant reduction in incidence rate of RA (66.67% vs .47.62% ,P=0.025) in those within 6h . There were no significant difference in incidence rates of death ,reinfarction and stroke during hospitalization and six months after PCI between RA group and no RA group ,P>0.05 all .Conclusion:The occurrence of reperfusion arrhythmia in patients with acute myocardial infarction during direct percutaneous coronary intervention is associat‐ed with number of diseased vessels ,infarct vascular type and coronary recanalization time .
