STEMI患者急诊PCI术后出现短期不良心血管事件的因素分析  

To analyze the risk factors for major adverse cardiovascular events(MACEs)in patients with STEMI after emergency PCI in 30 days

作　　者：陈步宽 万镇[1] 刘品刚[1] CHEN Bukuan;WAN Zhen;LIU Pingang(Department of Cardiovascular Medicine,Jianhu Hospital,Nantong University,Yancheng Jiangsu 224700,China)

机构地区：[1]南通大学附属建湖医院心血管内科,江苏盐城224700

出　　处：《中国急救复苏与灾害医学杂志》2021年第6期605-608,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：2017年盐城市医学科技发展计划项目(编号:YK2017083);江苏省自然科学基金青年基金资助项目(编号:BK20150532)。

摘　　要：目的分析影响ST段抬高型心肌梗死患者(ST segment elevation myocardial infarction,STEMI)经皮冠状动脉介入治片(percutaneous coronary intervention,PCI)术后30 d内主要不良心血管事件(major adverse cardiovascu-larevents,MACEs)的因素。方法选择2017年1月-2020年2月于南通大学附属建湖医院接受急诊介入治疗的139例STEMI患者,术后随访30 d,根据是否发生MACEs将患者分为MACEs组(n=35)及对照组(n=104)。比较两组患者临床资料方面的差异性,评价临床参数与MACEs的关系。结果与对照组相比,MACEs组患者年龄、胸痛持续时间、心肌肌钙蛋白I(cardiac troponin I,cTnI)显著增加,但左心室射血分数(left ventricular ejection fraction,LVEF)显著下降,此外,cTnI、LVEF及年龄是影响介入术后30 d内MACEs的因素,同时具备诊断价值。结论LVEF、cTnI及年龄是影响STEMI患者介入术后30 d内MACEs因素,也是潜在的诊断指标。Objective To analyze the risk factors for major adverse cardiovascular events(MACEs)in patients with ST segment elevation myocardial infarction(STEMI)after emergency percutaneous coronary intervention(PCI)in 30days.Methods 139 patients were collected in this study between January 2017 and February 2020,who were diagnosed with AMI and admitted in our hospital with emergency PCI.All of them were followed-up in 30 days to collected major adverse cardiovascular events(MACEs)after PCI and divided into MACEs group(n=35)and control group(n=104).The differences in clinical indexes were compared with two groups and the relationship between clinical indexes and MACEs were analyzed.Results Compared with control group,age,duration of chest pain and cTnI in MACEs group were higher,while LVEF lower.What’s more,cTnI,LVEF and age had a relationship with MACEs in post-PCI 30 days in STEMI patients,meanwhile,had value of diagnosis for MACEs.Conclusion LVEF,cTnI and age were independent factors for MACEs in post-PCI 30 days in STEMI patients,and severed as diagnostic indicators.

关 键 词：急性心肌梗死 介入治疗 近期 主要不良心血管事件 危险因素 

分 类 号：R542.22[医药卫生—心血管疾病]