[1]李 红,金泽宁,杨 铎,等.衰减斑块对急性心肌梗死患者经皮冠状动脉介入治疗围术期的影响研究[J].介入放射学杂志,2015,(10):849-852.
　LI Hong,JIN Ze-ning,YANG Duo,et al.The influence of attenuated plaque on perioperative period of percutaneous coronary intervention in patients with acute myocardial infarction[J].journal interventional radiology,2015,(10):849-852.
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衰减斑块对急性心肌梗死患者经皮冠状动脉介入治疗围术期的影响研究()

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

卷:
期数:
2015年10期
页码:
849-852
栏目:
心脏介入
出版日期:
2015-10-25

文章信息/Info

Title:
The influence of attenuated plaque on perioperative period of percutaneous coronary intervention in patients with acute myocardial infarction
作者:
李 红;  金泽宁;  杨 铎;  李 响;  朱华刚;  贾若飞;  孟 帅
Author(s):
LI Hong;  JIN Ze-ning;  YANG Duo;  LI Xiang;  ZHU Hua-gang;  JIA Ruo-fei;  MENG Shuai
Emergency and Critical Care Center， Beijing Anzhen Hospital， Capital Medical University， Beijing 100029， China
关键词:
【关键词】 衰减斑块;  血管内超声;  急性心肌梗死;  TIMI血流分级;  肌酸激酶同工酶
文献标志码:
A
摘要:
【摘要】 目的 对急性心肌梗死（AMI）患者行血管内超声（IVUS）探测衰减斑块，并探讨衰减斑块对经皮冠状动脉介入治疗（PCI）围术期的影响。方法 入选AMI住院患者85例，作冠状动脉造影（CAG）及IVUS检查，必要时行支架植入术。根据IVUS是否探测到衰减斑块将患者分为衰减斑块组和无衰减斑块组，比较两组患者围术期IVUS影像学结果、心肌梗死溶栓（TIMI）后血流分级及术后肌酸激酶同工酶（CK-MB）峰值。结果 85例AMI患者中35例（41.2%）检测到衰减斑块（衰减斑块组），50例（58.8%）未发现衰减斑块（无衰减斑块组）；两组间年龄、性别、危险因素差异无统计学意义（P＞0.05）。ST段抬高型心肌梗死（STEMI）患者中有衰减斑块比例明显高于非ST段抬高型心肌梗死（NSTEMI）患者（P=0.01）。衰减斑块组和无衰减斑块组间CAG时TIMI血流分级无统计学差异（P＞0.05），但球囊扩张后衰减斑块组TIMI 0～2级比例明显高于无衰减斑块组（P=0.003）。衰减斑块组患者术后CK-MB值上升患者比例和CK-MB峰值均显著高于非衰减斑块组（P＜0.01）。结论 衰减斑块可导致PCI术后无复流和慢血流发生率升高，更常见于STEMI患者；衰减斑块呈显著高危性，可用于预测患者术后CK-MB值升高程度。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１5-０5-18）
（本文编辑：边 佶）
更新日期/Last Update: 2015-10-19