期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

心电图ST段动态变化在心肌再灌注状态早期判定中的价值 被引量：5

暂未订购
导出
摘要 目的探讨心电图ST段动态变化早期判定急性心肌梗死(AMI)患者心肌组织再灌注的可行性。方法选择同期收治的104例AMI患者,入院后即刻及治疗后分别测定血清肌酸激酶心型同工酶活性(CK-MBact),判定心肌灌注情况;并观察心电图ST段偏移峰值及ST段下降率。结果CK-MBact显示治疗后心肌再灌注40例、心肌低灌注11例、心肌无复流53例,其治疗前ST段偏移峰值均无显著差异,心肌再灌注者ST段下降率显著高于心肌低灌注与心肌无复流者(P<0.05、0.01)。结论体表心电图ST段下降率可早期、准确反映心肌再灌注情况,有利于准确了解AMI患者病情并判定预后。
作者 张洪彬 穆伟 魏福云
机构地区 山东大学附属山东省千佛山医院
出处 《山东医药》 CAS 北大核心 2010年第3期93-94,共2页 Shandong Medical Journal
关键词 心肌再灌注 心电图 诊断
分类号 R540.4 [医药卫生—心血管疾病]
  • 相关文献

参考文献9

  • 1Rezkalla SH, Kloner RA. No-rcflow phenomenon [ J ]. Circulation, 2002,105 (5) :656-662.
  • 2Tanaka A, Kawarabayashi T, Nishibori Y, et al. No-reflow phenomenon and lesion morphology in patients with acute myocardial infarction[J]. Circulation ,2002,105(18) :2148-2152.
  • 3黄晓莉,王燕妮.急性心肌梗死的治疗进展——从再通到再灌注[J].心血管病学进展,2005,26(2):113-115. 被引量：17
  • 4Resnic FS ,Wainstein M, Lee MK, et al. No-reflow in an independent predictor of death and myocardial infarction after percutaneous coronary intervention[J]. Am Heart J ,2003,145( 1 ) :42-46.
  • 5Morishima I,Sone T,Okumura K,et al. Angiographic no-reflow phenomenon as a predictor of adverse long-term outcome in patients treated with percutaneous transluminal coronary angioplasty for fast acute myocardial infarction[ J]. JACC ,2000,36(4) :1202-1209.
  • 6Sezer M,Nisanci Y,Umman B,et al. New support for clarifying the relation between ST segment resolution and microvascular function: degree of ST segment resolution correlates with the pressure derived collateral flow index[J]. Heart,2004,90(2) : 146-150.
  • 7Hasdai D, Porter A, Bimbaum Y, et al. Predicting postinfarction left entricular dysfunction based on the configuration of the QRS complex and ST segment in the initial ECG of patients with a first anterior wall myocardial infarction [ J ]. Cardiology, 1996,87 ( 2 ) : 125- 128.
  • 8Feldman LJ, Coste P, Furber A, et al. Incomplete resolution of ST-segment elevation is a marker of transient microcirculatory dysfunction after stenting for acute myocardial infarction [J].Circulation, 2003,107(21 ) :2684-2689.
  • 9llkay E, Yavuzkir N, Karaca I, et al. The effect of resolution on QT dispersion after interventlonal treatment in acute myocardial infarction[J]. Clin Cardiol,2004,27 ( 3 ) : 159-162.

二级参考文献21

  • 1Tanaka A,Kawarabayashi T,Nishibori Y,et al.No-reflow phenomenon and lesion morphology in patients with acute myocardial infarction[J].Circulation,2002,105:2148-2152.
  • 2Rezkalla SH,Kloner RA.No-reflow phenomenon[J].Circulation,2002,105:656-662.
  • 3Resnic FS,Wainstein M,Lee MK,et al.No-reflow in an independent predictor of death and myocardial infarction after percutaneous coronary intervention[J].Am Heart J,2003,145:42-46.
  • 4Morishima I,Sone T,Okumura K,et al.Angiographic no-reflow phenomenon as a predictor of adverse long-term outcome in patients treated with percutaneous transluminal coronary angioplasty for first acute myocardial infarction[J].JACC,2000,36:1202-1209.
  • 5Kloner RA,Ganote CE,Jennings RB.The no-reflow phenomenon after temporary coronary occlusion in the dog[J].J Clin Invest,1974,54:1496-1508.
  • 6Donald S,Baim M,Dennis W,et al.Randomized trial of a distal embolic protection device during percutaneous intervention of saphenous vein aorto-coronary by pass grafts[J].J Invasive Cardiol,2002,14:20c-26c.
  • 7Grube E,Schofer J,Webb J,et al.Evaluation of a ballon occlusion and aspiration system for protection from distal embolization during stenting in saphenous vein grafts[J].J Invasive Cardiol,2002,14:15c-19c.
  • 8Michaels AD,Gibson CM,Barron HW.Microvascular dysfunction in acute myocardial infarction:focus on the roles of platelet and inflammatory mediators in the no-reflow phenomenon[J].Am J Cardiol,2000,85:50B-60B.
  • 9Yamada DM,Topol EJ.Microvascular embolization in acute coronary syndromes[J].Acut Cor Syn,2001,4:1-17.
  • 10Kemper AJ,Boyle O,Coben CA,et al.Hydrogen peroxide contrast echocardiography:Quantification in vivo of myocardial risk area following coronary occlusion and necrotic area remaining after myocardial reperfusion[J].Circulation,1984,70:309-317.

共引文献16

同被引文献23

  • 1HJORTSHOJ S, KRISTENSEN S R, RAVKILDE J. Diagnostic value of ischemia - modified albumin in patients with suspected acute coronary syndrome[J]. Am J Emerg Med, 2010, 28(2) : 170 - 176.
  • 2DEKKER M S, MOSTERD A, VAN T H A, et al. Novel biochemical markers in suspected acute coronary syndrome: systematic review and critical appraisal[J]. Heart, 2010, 96(13) : 1001 -1010.
  • 3GAZE D C. Ischemia modified albumin : a novel biomarker for the detection of cardiac ischemia [ J ]. Drug Metab Pharmacokinet, 2009, 24(4) : 333 -341.
  • 4de FILIPPI C, YOON S, BOUNDS C, et al. Early detection of myocardial ischemia by a novel blood based biomaker: the kinetics of ischemia modified albumin [ J ]. J Am Coll Cardiol, 2003, 6 (Suppl A) : 402A.
  • 5HJORTSHOJ S, DETHLEFSEN C, KRISTENSEN S R, et al. Ki- netics of ischaemia modified albumin during ongoing severe myocar- dial isehaemia[ J ]. Clin Chim Acta, 2009, 403 (1/2) : 114 - 120.
  • 6DOMINGUEZ RODRIGUEZ A, KASKI J C, ABREU GONZALEZ P, et al. Role of isehemia modified albumin to ST - segment reso- lution after mechanieal reperfusion in patients with ST - segment elevation myocardial infarction [ J ]. Atheroselerosis, 2009, 203 (2) : 576 -580.
  • 7CONSUEGRA SANCHEZ L, BOUZAS MOSQUERA A, SINHA M K, et al. lsehemia - modified albumin predicts short - term out- come and 1 - year mortality in patients attending the emergency department for acute isehemie chest pain [ J ]. Heart Vessels, 2008, 23(3) : 174 - 180.
  • 8VAN BELLE E, DALLONGEVILLE J, VICAUT E, et al. Isehe- mia - modified albumin levels predict long - term outcome in pa- tients with acute myocardial infarction. The French Nationwide OPERA study[J]. Am Heart J, 2010, 159(4) : 570 -576.
  • 9DOMINGUEZ RODRIGUEZ A, ABREU GONZALEZ P, GARCIA GONZALEZ M J, et al. Relation of ischemia - modified albumin levels and left ventricular systolic function in patients with ST - segment elevation myocardial infarction treated with primary per- cutaneous coronary intervention[ J]. Clin Chim Acta, 2008, 388 (1/2): 196 -199.
  • 10FELDMAN L J, COSTE P, FURBER A, et al. Incomplete resolu- tion of ST - segment elevation is a marker of transient microcircu- latory dysfunction after stenting for acute myocardial infarction [J]. Circulation, 2003, 107(21 ): 2684-2689.

引证文献5

二级引证文献12

山东医药
2010年 第3期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部