Analysis of succumbed reasons of emergent percutaneous coronary intervention in treatment of acute myocardioal infarction
- VernacularTitle:急诊经皮冠状动脉介入治疗急性心肌梗死死亡因素分析
- Author:
Yong WANG
;
Xiaofei LIU
;
Xuanlun LI
;
Yujie ZENG
;
Bing SHI
;
Wenhua PENG
;
Le SHI
;
Yuannan KE
;
- Publication Type:Journal Article
- Keywords:
Coronary heart disease;
Myocardial Infarction;
Emergent peroutaneous coronary intervention;
Succumbed reasons
- From:
Chinese Journal of Emergency Medicine
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the succumbed reasons of emergent pereutaneous coronary intervention(EPCI)in treatment of acute myocardial infarction(AMI)during operation and in-hospital period.Method During March 1999 to June 2005,623 AMI patients received EPCI,and 27 patients died.The succumbed reasons and clinical characteristics of the succumbed patients were analyzed.Result Among the 27 succumbed patients,with age 51 to 91(69?18)years old, 16 had three-vessel lesions.10 had two-vessel lesions and l had single vessel lesion.Ten patients were accompanied with old myocardial infarction,9 with diabetes meUitus,19 with hypertensions,4 with impaired renal functions,and 6 with old cerebral infarction.Nine patients died of eardingenic shocks,6 died of no-reflows,2 died of heart ruptures,2 thrombosis, 2 acute left heart failure,2 acute renal failure,2 intracranial hemorrhage,l shock due to hemorrhage of puncture position, and l acute perieardiae tamponade.Conclusion The succumbed reasons of EPCI in treatment of acute myocardial infarction were various.Cardiac shock and no-reflow were primary reasons.Old age,multi-vessel lesion,diabetes mellitus, and old myocardial infarction may serve as predicting factors.
