STEMI患者梗死相关动脉自发再通的临床特征及预测因素  

Independent predictors and clinical characteristics of spontaneous reperfusion of infarct-related artery in patients with STEMI

作　　者：朱建兵[1] 鲁叶花 谢倩倩[1] 张俊峰[1] 

机构地区：[1]上海交通大学医学院附属第三人民医院心脏科,上海201999

出　　处：《临床心血管病杂志》2014年第3期228-230,共3页Journal of Clinical Cardiology

摘　　要：急性ST段抬高型心肌梗死（ST—segmentele—vatedmyocardial infarction，STEMI）患者梗死相关动脉造影显示常呈开通状态，且达到心肌梗死溶栓治疗临床试验（TIMI）血流2～3级，We investigated clinical characteristics and independent predictors of spontaneous reperfusion （SR） of infarct-related artery in patients who were treated by primary percutaneous coronary intervention （PCI） with ST-segment elevated myocardial infarction （STEMI）. Smoking, preinfarct angina, LVEF before procedure, Killip class I, anglographic collaterals grade≥2, LDL, Lp-a, peak CK, peak CK-MB were significant differences between SR group and control group by univaiate analysis. Preinfarct angina and Killip classlare positive correlation with the incidence of SR of IRA. Smoking, angiographic collaterals grade≥2, LDL, Lp-a are negative correlation with it.

关 键 词：ST段抬高型心肌梗死 独立预测因素 自发再通 经皮冠状动脉介入 

分 类 号：R542.2[医药卫生—心血管疾病]