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急性心肌梗塞延迟经皮冠状动脉腔内成形术对改善左心室功能的近期及远期疗效观察(摘要)

Effects of Delayed Percutaneous Transluminal Coronary Angioplasty on Left Ventricular Function in Patients with Acute Myocardial Infarction

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【作者】 朱军施海明李勇王受益范维琥戴瑞鸿

【Author】 Department of Cardiology, Huashan Hospital, Shanghai Medical University, Shanghai (200040) Zhu Jun, Shi Haiming, Li Yong, et al (

【机构】 上海医科大学附属华山医院心内科

【Abstract】 Objective: To assess the effects of delayed percutaneous transluminal coronary angioplasty (PTCA) on left ventricular motion and function evaluated by two dimensional echocardiography (2 DE) Methods: Fifty four patients with acute myocardial infarction were divided into delayed PTCA group and control group Left ventricular ejection fraction (LVEF) was determined by Simpson biplane formula and left ventricular wall motion abnormality scores were also measured 2 DE was performed after 2 to 3 weeks and 8 months of onset of acute myocardial in farction (AMI), respectively Results: The results showed that ventricular wall motion abnormality scores and LVEF in delayed PTCA group in acute phases were the same as in control group But the incidences of left ventricular dialatation and aneurysms in control group were higher than those of in delayed PTCA group ( p <0 05) After 8 4±1 9 months follow up, LVEF and ventricular wall motion in delayed PTCA group were better improved than those of in control group ( p <0 05) Conclusion: Our data suggested that active percutaneous transluminal coronary angioplasty therapy after AMI can significantly improve left ventricular function and wall motion

  • 【文献出处】 中国循环杂志 ,CHINESE CIRCULATION JOURNAL , 编辑部邮箱 ,1999年S1期
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