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《Journal of Chengdu Medical College》 1997-01
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STUDY ON NAILFOLD MICROCIRCULATION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Li Xufeng Department of Internal Medicine,Chaoyang Centeral Hospital,Liaoning  
The multiple weighted score values of nailfold microcirculation were higher in patients with acute myocardial infarction(AMI),than in coronary artery disease patients without myocardial infarction and healthy subjects(P0.01).Among the total score values,the score value of microvessel hemodynamics and perivacular status were significantly increased in AMI patients,which showed a significant positive correlation with the myocardial infarction size,elevation of ST and CPK activity(r=0. 9483,0.9083 and 0.9562 respectively,P0.01),and negative with LVEF(r=-0. 9040,P0.01);but there was no relations to myocardial infarction position.The mailfold microcirculatory changes were exacerbation in AMI patients with complications and the more the complications,the more severe the microcirculatory disturbance was. Continual observation of nailfold microcirculation would be helpful to quiding treatment and improving prognosis.When thrombolytic urokinase and anticoagulant hearin were used to treat the patients,their microcirculatory disturbances were obviously improved and its curative effects were superior to svate and dextran,etc(P0.01,P0.05). The nailfold microcirculatory changes were more severe in patinents with unstable angina pectoris(CA)than with stable angina pectoris.Prompt treatment and improving microcirculation of patients with CA can reduce the morbidity of AMI.
【CateGory Index】: R542.22
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【Co-citations】
Chinese Journal Full-text Database 10 Hits
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