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

主动脉内球囊反搏术在急性心肌梗死相关动脉近端病变患者中的应用效果 被引量：4

Application effect of intra\|aortic balloon pump in AMI patients with proximal lesion of infarction related artery
暂未订购
导出
摘要 目的评价主动脉内球囊反搏术在急性心肌梗死相关动脉近端病变患者中的应用效果。方法根据急诊介入治疗后是否应用主动脉内球囊反搏术(IABP)将199例急性心肌梗死相关血管为近端病变患者分为两组,即IABP组(79例)和无IABP组(120例),比较两组术后2周心肌梗死范围和血脑钠尿肽的变化、两组左室射血分数和左室舒张末期内径及两组术后30d内心脏事件的发生率。结果术后2周和无IABP组比较,IABP组患者梗死范围明显缩小[(30.256±4.223)%vs.(35.343±5.235)%,P<0.01],血脑钠尿肽浓度降低[(89.7±33.5)ng/Lvs.(128.7±44.1)ng/L,P<0.01],左室左室射血分数增高[(52.6±5.2)%vs.(47.5±7.3)%,P<0.01],左室舒张末期内径减小[(47.5±4.6)mmvs.(50.3±5.7)mm,P<0.01]。术后30d内心脏事件发生率IABP组明显低于无IABP组(P<0.05)。结论对急性心肌梗死相关动脉近端病变患者急诊介入治疗后行IABP治疗可使心肌梗死范围缩小,改善患者心功能,降低心脏事件的发生率。 Objective To review the application effect of the operation of intra／｜aortic balloon pump（IABP） in the patients with proximal lesion of infarction related artery of acute myocardial infarction（AMI）.Methods The AMI patients with proximal lesion of infarction related artery（n=199） were divided into IABP group（n=79） and non／｜IABP group（n=120） according to whether they were given IABP after emergency percutaneous coronary intervention.The infarction size,changes of blood／｜brain natriuretic peptide（BNP）,left ventricular ejection fraction（LVEF）,left ventricular end／｜diastolic inner diameter（LVDD） after the operation for 2 weeks,and occurrence rate of cardiac events after the operation for 30 days were compared between two groups.Results Compared with non／｜IABP group after the operation for 2 weeks,the infarction size decreased significantly[（30.256±4.223） % vs.（35.343±5.235） %,P0.01],BNP concentration decreased[（89.7±33.5） ng/L vs.（128.7±44.1） ng/L,P0.01],LVEF increased[（52.6±5.2）% vs.（47.5±7.3）%,P0.01]and LVDD decreased[（52.6±5.2）% vs.（47.5±7.3）%,P0.01]in IABP group.After the operation for 30 days,the occurrence rate of cardiac events was significantly lower in the IABP group than that in the non／｜IABP group（P0.05）.Conclusion The operation of IABP can reduce infarction size,improve cardiac function and decrease the occurrence rate of cardiac events in AMI patients with proximal lesion of infarction related artery after emergency percutaneous coronary intervention.
作者 肖军 王洪叶 季春燕 郭慧 陈敏
机构地区 解放军第
出处 《中国循证心血管医学杂志》 2011年第4期272-274,277,共4页 Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词 心肌梗死 主动脉内球囊反搏术 冠状动脉病变 Myocardial infarction Intra／｜aortic balloon pump Coronary artery disease
分类号 R541.4 [医药卫生—心血管疾病]
  • 相关文献

参考文献10

  • 1Santa-Cruz R A, Cohen MG, Ohman EM. Aortic counterpulsation : a review of the hemodynamic effects and indications for use [ J ]. Catheter Cardiovasc Interv ,2006,67 ( 1 ) :68-77.
  • 2Kocogullari CU, Emmiler M, Ayva E, et al. IABP-related vascularcomplications: who is responsible-the patient, the surgeon or the sheath? part I : sheath-related complications [ J ]. Adr Ther, 2008,25(3 ) :225-230.
  • 3高润霖.急性心肌梗死诊断和治疗指南[J].中华心血管病杂志,2001,29(12):710-725. 被引量：5251
  • 4陈灏珠.实用内科学[M].12版.北京:人民卫生出版社,2006:1460.
  • 5陈灏珠,译.心脏病学(美BRAUNWALD著)[M].7版.北京:人民卫生出版社,2007:1095.1120.
  • 6Papaioannou T G, Stefanadias C. Basic principles of the intra-aortic balloon pump and mechanisms affecting its performance [ J ]. ASAIO J,2005,51 (3) :296-300.
  • 7Stone GW, Ohman EM, Miller MF, et al. Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myo- cardial infaction the benchmark registry [ J ]. J Am Coil Cardiol, 2003,41 ( 11 ) : 1940-1945.
  • 8Mishra S, Chu WW, Torguson R, et al. Role of prophylactic intra- aortic balloon pump in high-risk patients undergoing percutaneous coronary intervention[ J]. Am J Cardiol,2006,98 (5) :608-612.
  • 9Sauren LD, Accord RE, Hamzeh K, et al. Combined impella and in-tra-aortie balloon pump support to improve both ventricular unloa- ding and coronary blood flow for myocardial recovery : an experimen- tal study[ Jl. Artif organs,2007,31 ( 11 ) :839-879.
  • 10Harjai K J, Metha RH, Stone GW, et al. Does proximal location of culprit lesion confer worse prognosis in patients undergoing primarypercutaneous coronary intervention for ST elevation myocardial in- farction[J]. J Interv Cardial,2006,19(4) :285-294.

共引文献5381

同被引文献29

  • 1Maisel AS,Koon J,Krishnaswamy P,et al.Utility of B-type natriuretic peptide as a rapid,point of care test for screening patients undergoing echocardiography to determine left ventricular dysfunction[J].Am Heart J,2001,141(3):367-374.
  • 2Zipes DP,Libby P,Bonow RO,et al.Braunwald Heart Disease(Braunwald心脏病学)[M].陈灏珠,译.7版.北京:人民卫生出版社,2007:1077.
  • 3Angelantonio ED,Chowdhury R,Sarwar N,et al.B-type natriuretic peptides and cardiovascular risk systematic review and meta-analysis of 40 prospective studies[J].circulation,2009,120(22):2177-2187.
  • 4葛均波,方唯一,沈卫锋.现代心脏病学进展[M].上海:复旦大学出版社,2012:103.
  • 5Sauren LD,Accord RE,Hamzeh K,et al.Combined impella and intra-aortic balloon pump support to improve both ventricular unloading and coronary blood flow for myocardial recovery:an experimental study[J].Artif organs,2007,31(11):839-879.
  • 6Oshima K,Morishita Y,Hinohara H,et al.Prolonged use for at least 10 days of intraaortic balloon pumping (IABP) for heart failure[J].Int Heart J,2005,46(6):1041-1047.
  • 7Aissaoui N, Puymirat E, Tabone X, et al. Improved out- come of cardiogenic shock at the acute stage of myocardial infarction: a report from the USIK 1995, USIC 2000, and FAST-MI French nationwide registries [ J ]. Eur Heart J, 2012, 33(20) : 2 535-543.
  • 8Valk SD, Cheng JM, den Uil CA, et al. Encouraging sur- vival rates in patients with acute myocardial infarction trea- ted with an intra-aortic balloon pump [ J ]. Neth Heart J, 2011. 19(3): 112-118.
  • 9Buerke M, Prondzinsky R, Lemm H, et al. Intra-aortic balloon counterpulsation in the treatment of infarction-relat- ed cardiogenic shock : review of the current evidence [ J ]. Artif Organs, 2012, 36(6): 505-511.
  • 10Kamohara K, Yoshikai M, Yunoki J, et al. Emergency coronary artery bypass grafting for acute coronary syndrome with preoperative intraaortic balloon pumping: comparative surgical outcome and long-term results [ J ]. Kyobu Geka, 2003, 56(13) : 1 075-081.

引证文献4

二级引证文献24

中国循证心血管医学杂志
2011年 第4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