[1]杨 洁,贾 颖,王鹤鸣.ST段抬高型心肌梗死患者PCI术后E/E’比值与心功能变化的相关性[J].介入放射学杂志,2020,29(10):978-982.
 YANG Jie,JIA Ying,WANG Heming..The correlation between E/E’ ratio and cardiac function indexes in patients with ST-segment elevation myocardial infarction after percutaneous coronary intervention[J].journal interventional radiology,2020,29(10):978-982.
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ST段抬高型心肌梗死患者PCI术后E/E’比值与心功能变化的相关性()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年10
页码:
978-982
栏目:
心脏介入
出版日期:
2020-10-25

文章信息/Info

Title:
The correlation between E/E’ ratio and cardiac function indexes in patients with ST-segment elevation myocardial infarction after percutaneous coronary intervention
作者:
杨 洁 贾 颖 王鹤鸣
Author(s):
YANG Jie JIA YingWANG Heming.
Department of Functional Inspection, Heze Municipal Hospital of Traditional Chinese Medicine, Heze, Shandong Province 274000, China
关键词:
【关键词】 ST段抬高型心肌梗死 经皮冠状动脉介入治疗 超声心动图 E/E’比值 心功能
文献标志码:
A
摘要:
【摘要】 目的 研究ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)后二尖瓣舒张早期血流峰值速度(E)-二尖瓣环舒张早期运动峰值速度(E’)比值(E/E’)与患者心功能变化的相关性。 方法 纳入2016年3月至2019年3月在菏泽市中医医院接受PCI术268例STEMI患者作为研究对象。PCI前后均接受超声心动图检查。记录左心室舒张末内径(LVDD)、左心房容积(LAV)、左心室射血分数(LVEF)、二尖瓣E峰减速时间(DT)、左心室舒张末期容积指数(LVEDVI)、左心室收缩末期容积指数(LVESVI),计算E/E’。将患者分为A组(E/E’≤15)和B组(E/E’>15),比较两组患者PCI术前后E/E’和其他心功能指标水平。评价E/E’与左心室重构的相关性。记录出院后6个月内心血管不良事件发生率,分析E/E’与心血管不良事件的关系。 结果 268例患者中A组216例,B组52例。两组间LVDD、LAV、LVEF、DT、LVEDVI、LVESVI水平差异均有统计学意义(P<0.05),手术前后差异均无统计学意义(P>0.05)。Spearman相关分析显示,E/E’与LVDD、LVEDVI、LVESVI均呈正相关(r=0.497、0.366、0.182,P<0.000 1),与LVEF呈负相关(r=-0.437,P<0.05),与DT、LAV不具明显相关性(P>0.05)。不同预后患者间LVDD、LAV、LVEF、DT、LVEDVI、LVESVI水平差异均有统计学意义(P<0.05)。Logistic多因素分析显示,E/E’、LVDD、LVEDVI、LVESVI是STEMI患者发生心血管不良事件的危险因素,LVEF是发生心血管不良事件的保护因素(P<0.05)。受试者工作特征曲线(ROC)分析显示,E/E’预测STEMI患者发生心血管不良事件具有较高价值(AUC>0.75,P<0.05),灵敏度为0.806,特异度为0.732。 结论 PCI术不能迅速纠正STEMI患者E/E’,但术后E/E’与心功能状态和心室重构相关。监测PCI术后E/E’有助于判断STEMI患者不良预后,为临床指导提供依据。

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备注/Memo

备注/Memo:
(收稿日期:2020- 01- 07)
(本文编辑:边 佶)
更新日期/Last Update: 2020-10-19