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《Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease》 2017-10
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Comparison of Opporunity for PCI on Patients with Acute Myocardial Infarction

ZHANG Jun-feng;Huafeng Coal Mine Hospital of Xinwen Mining Group co.LTD;  
Objective To compare the impact of opporunity for PCI on patients with acute myocardial infarction( AMI). Methods A total of 90 patients with AMI were selected in Huafeng Coal Mine Hospital of Xinwen Mining Group co. LTD from April 2013 to April 2016,all of them received PCI within 12 hours of attack,and they were divided into A group( duration between attack and PCI less than 3 hours,n = 32),B group( duration between attack and PCI equal or over than 3 hours but less than 6 hours,n = 31) and C group( duration between attack and PCI equal or over 6 hours but less than 12 hours) according to the duration between attack and PCI. Clinical effect,incidence of adverse cardiac events and myocardial improvement effect( including LVEF,CK-MB recovery time and CK recovery time) were compared among the three groups.Results Clinical effect of A group was statistically significantly better than that of C group( P 0. 05). Incidence of adverse cardiac events of A group and B group was statistically significantly lower than that of C group( P 0. 05). After PCI,LVEF of A group was statistically significantly higher than that of B group and C group,respectively,meanwhile LVEF of B group was statistically significantly higher than that of C group( P 0. 05); CK-MB recovery time and CK recovery time of A group were statistically significantly shorter than those of B group and C group,meanwhile CK-MB recovery time and CK recovery time of B group were statistically significantly shorter than those of C group( P 0. 05). Conclusion Opporunity for PCI has some impact on patients with AMI,PCI at super-early stage( duration between attack and PCI less than 3 hours) and early stage( duration between attack and PCI equal or over than 3 hours but less than 6 hours) have better clinical effect,can more effectively reduce the risk of adverse cardiac events and improve the myocardial function,meanwhile PCI at super-early stage will get the best treatment outcome.
【CateGory Index】: R542.22
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