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冠状动脉介入术对心肌梗死心功能不全患者的疗效(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2004年第2期
页码:
127-129
栏目:
临床研究
出版日期:
2004-03-01

文章信息/Info

Title:
Efficacy of coronary intervention on myocardial infarction patients with left ventricular dysfuction
作者:
李寰1; 李成祥1; 贾国良1; 张玉顺1; 王海昌1; 郭文怡1; 李伟杰1; 吴巧英2; 李楠2; 张海滨2
第四军医大学西京医院:1.心内科,2.超声科,陕西 西安 710032
Author(s):
LI Huan1; LICheng-xiang1; JIA Guo-liang1; ZHANGYu-shun1; WANGHai-chang1; GUO Wen-yi1; LIWei-jie1; WUQiao-ying2; LINan2; ZHANGHai-bin2
1.Department of Cardiology, 2.Department of Ultrasound, Xijing Hospital, Fourth Medical Military University, Xi'an, Shaanxi 710032, China
关键词:
心肌梗塞; 心功能不全; 冠脉介入术; 存活心肌
Keywords:
myocardial infarction;  myocardial dysfunction;  coronary intervention;  viable myocardium
分类号:
R541.4;R540.45
DOI:
-
文献标识码:
A
摘要:
目的:探讨冠脉介入术对心肌梗死心功能不全患者的疗效。方法:左室射血分数(LVEF)<50%的心肌梗死患者30例,分别于冠脉介入术前及术后3个月检查2维超声心动图(2DE),观察患者室壁节段运动指数(WMSI)和LVEF的变化。结果:2例患者死亡,20例术后WMSI和LVEF较术前明显改善(定为心功能改善组),8例无明显变化(定为心功能无改善组);心功能改善组中急性心肌梗死较陈旧性心肌梗死患者WMSI改善明显。结论:有大量存活心肌的心肌梗死心功能不全患者,冠脉介入术能使患者获益;心梗患者尽早行冠脉介入术能使患者心功能及早恢复。
Abstract:
AIM: To investigate the efficacy of coronary intervention on myocardial infarction patients with left ventricular dysfuction. METHODS: 30 myocardial infarction patients with left ventricular ejection fraction(LVEF) less than 50% were investigated. Wall motions core index(WMSI) an LVEF were measured by two-dimensional echocardiography (2DE) pre-intervention and 3 mo after the coronary intervention respectively. RESULTS: In the follow-up, two patients died, WMSI and LVEF were significantly improved in 20 patients (defined as improved group) and not improved in 8 patients (defined as not improved group). In the improved group, WMSI improved more significantly in the acute myocardial in farction patients than in old myocardial infarction patients. CONCLUSION: Patients with myocardial dysfunction with more viable myocardium after myocardial infarction can get benefit from coronary intervention. Heart function can be reversed quickly by early coronary intervention.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2003-2-17
更新日期/Last Update: 2004-03-01