[1]张宇杰,王迪,叶添宝,等.前壁心梗患者微循环功能障碍的影响因素及预测模型的建立 [J].介入放射学杂志,2024,33(11):1181-1185.
 ZHANG Yujie,WANG Di,YE Tianbao,et al.The influencing factors of microcirculation dysfunction in patients with anterior wall acute myocardial infarction and the establishment of prediction model[J].journal interventional radiology,2024,33(11):1181-1185.
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前壁心梗患者微循环功能障碍的影响因素及预测模型的建立
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年11
页码:
1181-1185
栏目:
心脏介入
出版日期:
2024-11-20

文章信息/Info

Title:
The influencing factors of microcirculation dysfunction in patients with anterior wall acute myocardial infarction and the establishment of prediction model
作者:
张宇杰王迪叶添宝刘亮金贤沈成兴
Author(s):
ZHANG YujieWANG DiYE TianbaoLIU LiangJIN XianSHEN Chengxing.
Affiliated Shanghai Sixth People′s Hospital,School of Medicine,Shanghai JiaoTong University,Shanghai 200233,China
关键词:
【关键词】急性心肌梗死微循环功能障碍caIMR
文献标志码:
A
摘要:
【摘要】目的探讨急性心梗后微循环障碍患者的影响因素并建立相关预测模型。方法纳入2017年1月至2020年9月在上海市第六人民医院行PCI治疗后使用caIMR评估微循环功能的前壁心梗患者130例,其中微循环阻力异常组52例,微循环阻力正常组78例。比较2组患者的临床资料。回归分析微循环障碍的影响因素。结果微循环阻力异常组的对比剂用量、发病-手术时间、Gensini总分和LAD Gensini评分分别为(121.92±31.37) mL、(10.51±5.12) min、(97.91±31.77)分和(69.36±13.15)分,均高于微循环阻力正常组的(109.03±28.2) mL、(4.94±2.94) min、(81.05±35.22)分和(54.45±23.48)分,差异均有统计学意义(均P<0.05)。建立了涵盖介入策略的预测模型,其准确性较常规模型更高,AUC为0.91比0.87,能较好预测心梗患者发生微循环障碍的风险。结论建立前壁心梗微循环障碍模型可以较好地区分心梗后微循环障碍的高危人群。

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备注/Memo

备注/Memo:
(收稿日期:2024-03-28)
(本文编辑:新宇)
更新日期/Last Update: 2024-11-20