Relationship between pressure-derived fractional collateral flow and left ventricular remodeling in patients with acute myocardial infarction
- VernacularTitle:急性心肌梗死患者侧支血流分数与左室重塑关系的临床研究
- Author:
Zhihong OU
;
Weiyi FANG
;
Xuchen ZHOU
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Fractional collateral flow;
Left ventricular remodeling
- From:
Chinese Journal of Interventional Cardiology
1996;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the relationship between pressure derived fractional collateral flow (Q C/Q N) and left ventricular remodeling after acute myocardial infarction(AMI) Methods The Q C/Q N was measured in 21 patients with first AMI treated with percutaneous transluminal coronary angioplasty (PTCA), being determined by simultaneous measurement of mean aorta pressure (P a), distal coronary pressure (P w) during the balloon occlusion 21 patients were divided into two groups according to the value of Q C/Q N (group A, Q C/Q N≥0 25, group B, Q C/Q N0 05) At one month follow up, the difference in EF ( P 0 05) Both ESVI and EDVI were considerably increased in two groups Conclusion Angiographic Rentrop′s classification has its limitation in assessing the collateral circulation Q C/Q N is a major determinant of left ventricular remodeling and prognosis in patients with AMI