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目的评价急性心肌梗死(AMI)患者发病1月内行延迟冠状动脉支架术(PCI)对近期及远期预后的影响。方法回顾性分忻186例首次 AMI 患者.其中84例行延迟 PCI 术,(执行时间中位数为发病后13.6d)。另102例未行延迟 PCI 术,比较两组住院期死亡,1年内死亡、1年内再心梗,2年内死亡、2年内再心梗的发生率及心功能、左室大小。结果延迟 PCI 的患者住院期死亡率,1年内死亡、1年内再心梗、2年内死亡、2年内再心梗的发生率显著降低,心功能明显改善,左室无明显扩大。结论AMI 后行延迟介入治疗能改善患者预后。
Objective To evaluate the effect of delayed coronary artery stenting (PCI) on short-term and long-term prognosis in patients with acute myocardial infarction (AMI) within 1 month of onset. Methods Retrospective analysis of 186 patients with first AMI, of which 84 patients underwent delayed PCI (median duration of onset of 13.6d after onset). Another 102 patients underwent non-delayed PCI. The two groups were compared in-hospital death, death within 1 year, re-myocardial infarction within 1 year, death within 2 years, incidence of re-MI within 2 years, cardiac function and left ventricular size. Results In-hospital mortality, death within 1 year, re-MI within 1 year, death within 2 years, re-MI rate within 2 years, significant improvement of cardiac function and no significant enlargement of left ventricle. Conclusion The delayed interventional treatment of AMI can improve the prognosis of patients.