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恢复期心肌梗死患者PCI治疗作用的超声评价

Ecocardiographic evaluation of the impact of PCI on the patients with myocardial infarction

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【作者】 赵云鹤崔丽芳沈卫峰毕朝晖张秀明

【Author】 ZHAO Yun-he1,CUI Li-fang,SHEN Wei-feng,BI Zhao-hui,ZHANG Xiu-ming(1 Zibo Central Hospital,Zibo 255036,P.R.China)

【机构】 淄博市中心医院上海交通大学医学院瑞金医院淄博市中心医院 山东淄博255036山东淄博255036

【摘要】 目的评价心肌梗死恢复期经皮冠状动脉介入治疗(PCI)对患者近期及远期左室功能的影响。方法对30例首次心肌梗死患者于发病(5.8±2.7)周行PCI,并于术前(4.8±4.3)d、术后(4.5±2.6)d及术后(6.3±1.5)个月行心脏超声检查,观察PCI对左室容量、左室功能的影响。结果PCI组术后近期及远期左室容量较术前减小、左室收缩功能明显改善,而左室舒张功能无明显变化。结论在心肌梗死恢复期,PCI能改善患者的近期及远期左室功能。

【Abstract】 Objective To assess the late and long-term impact of percutaneous coronary intervention(PCI) on the patient with myocardial infarction.Methods In 30 patients,successful PCI was performed(5.8±2.7) weeks after acute myocardial infarction,serial echocardiographic examinations were performed before(4.8±4.3) days,shortly after PCI(4.5±2.6) days and during follow-up(6.3±1.5) months after PCI to assess the changes in left ventricle volumes,systolic and diastolic function.Results Left ventricle volumes were decreased and systolic function was improved shortly after PCI and during follow-up,but left ventricle diastolic function was unchanged.Conclusions PCI performed during the recovery phase of acute myocardial infarction may significantly improve functional status of the patients.

  • 【文献出处】 山东医药 ,Shandong Medical Journal , 编辑部邮箱 ,2008年07期
  • 【分类号】R542.22
  • 【被引频次】1
  • 【下载频次】19
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