CAJ | 학술논문

[目的]探讨心肌灌注指数联合左室舒张功能指标预测急性前壁心肌梗死(AMI)患者预后的价值.[方法]54例急性前壁心肌梗死患者根据急诊经皮冠脉介入治疗后心肌灌注情况和左室舒张功能分为三组.A组:心肌灌注及左室舒张功能正常,B组:心肌灌注异常或左室舒张功能异常,C组:心肌灌注及左室舒张功能均异常.追踪患者出院后3年内情况,分析其与心肌灌注和左室舒张功能的关系.[结果]A组患者预后最佳,3年存活率为84.2%,C组患者预后最差,3年存活率为53.3%,B组为75.0%.[结论]心肌灌注联合左室舒张功能可以用于预测急性前壁心肌梗死患者预后,及早发现高危患者,有利于临床治疗.
[목적]탐토심기관주지수연합좌실서장공능지표예측급성전벽심기경사(AMI)환자예후적개치.[방법]54례급성전벽심기경사환자근거급진경피관맥개입치료후심기관주정황화좌실서장공능분위삼조.A조:심기관주급좌실서장공능정상,B조:심기관주이상혹좌실서장공능이상,C조:심기관주급좌실서장공능균이상.추종환자출원후3년내정황,분석기여심기관주화좌실서장공능적관계.[결과]A조환자예후최가,3년존활솔위84.2%,C조환자예후최차,3년존활솔위53.3%,B조위75.0%.[결론]심기관주연합좌실서장공능가이용우예측급성전벽심기경사환자예후,급조발현고위환자,유리우림상치료.
[Objective]To evaluate the value of myocardial perfusion combined with left ventricular diastolic function for predicting the prognosis of acute anterior wall myocardial infarction (AMI). [Methods]Fifty four anterior wall AMI patients were enrolled. Myocardial perfusion combined with left ventricular diastolic function was evaluated by coronary angiography and echocardiography, respectively. Patients were divided into 3 groups based on myocardial perfusion and diastolic function: Group A (normal perfusion and normal diastolic function), Group B (abnormal perfusion or abnormal diastolic function) and Group C (abnormal perfusion and abnormal diastolic function). The long term all-cause mortality was compared within three groups. [Results] Survival rate was much higher in Group A (84.2%), and lowest in group C (53.3%). [Conclusion] Myocardial perfusion combined with left ventricular diastolic function is useful for predicting the prognosis of anterior wall AMI and has the benefit for the early diagnosis and treatment of high-risk patients.