Effect of percutaneous coronary intervention on mitral regurgitation in patients with acute myocardial infarction: a 6 months follow-up
- VernacularTitle:经皮冠状动脉介入术对急性心肌梗死患者合并二尖瓣反流的影响
- Author:
Yong XU
;
Qi SUN
;
Guang ZHI
;
Baoshi HAN
;
Luyue GE
;
Tingshu YANG
- Publication Type:Journal Article
- Keywords:
acute myocardial infarction;
mitral regurgitation;
percutenous coronary intervention
- From:
Academic Journal of Second Military Medical University
1985;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of percutaneous coronary intervention(PCI) on mitral regurgitation(MR) in patients with acute myocardial infarction(AMI).Methods: A total of 213 AMI patients were divided into PCI group(n=87,(PCI +) medication) and medication group(n=126,medication) according to the treatments they received.Echocardiographic examination was conducted in patients during admission and 6 months follow-up.Color Doppler was used to determine the degree of MR.Echocardiogram indices included MR degree,left ventricular end-diastolic diameter(LVEDd),left ventricular end-systolic diameter(LVEDs),left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),and left ventricular ejection fraction(LVEF).Results: The overall incidence of MR was 28.6% in 213 patients during admission.The MR incidence in patients with acute inferior myocardial infarction was higher than that in patients with other parts of infarction((34.5%) vs 22.3%,P0.05),while the incidence in medication group increased significantly than that during admission(43.7% vs 30.2%,P
