CAJ | 학술논문

目的：回顾性分析急性心肌梗死( AMI )梗死相关血管( IRA )开通时间与再灌注心律失常( RA )相关性。方法行直接PCI治疗的患者70例，根据发病至IRA开通时间段分为3组：4 h内组24例，4～8 h组27例，8 h以上组19例。分别比较各组PCI术后再灌注心律失常发生、处理及转归。结果共44例患者发生RA。发病4 h内开通IRA组，RA发生率及快速性心律失常总体发生率与其他两组相比P＜0.01，室性早搏发生率与8 h以上组比较P＜0.05，心室颤动发生率与其他两组比较，P＜0.05。结论 AMI患者发病至开通IRA时间与再灌注心律失常明确相关。
목적：회고성분석급성심기경사( AMI )경사상관혈관( IRA )개통시간여재관주심률실상( RA )상관성。방법행직접PCI치료적환자70례，근거발병지IRA개통시간단분위3조：4 h내조24례，4～8 h조27례，8 h이상조19례。분별비교각조PCI술후재관주심률실상발생、처리급전귀。결과공44례환자발생RA。발병4 h내개통IRA조，RA발생솔급쾌속성심률실상총체발생솔여기타량조상비P＜0.01，실성조박발생솔여8 h이상조비교P＜0.05，심실전동발생솔여기타량조비교，P＜0.05。결론 AMI환자발병지개통IRA시간여재관주심률실상명학상관。
Objective To retroepectively analyse the correlation between infarction related artery (IRA )turn-on time of acutem yocardial infarction(AMI)andreper fusionarr hythmia.Methods 70patientswithAMIundergoingdirect PCI treatmentwere divided into 3 groups ac-cording to the IRA turn-on tim e after invasion:group of 24 cases within 4 hours,group of 27 cases within 4 to 8 hours,and group of 19 cases over 8 hours).Reperfusion arrhythm ia occurrence,disposal,prognosis after PCI treatm ent among the three groups were respectively com pared .Results Totally 44 cases showed RA.The incidence rate of RA and the overall incidence rate of tachyarrhythm ia in the first group show ed P<0.01 com pared with the other two groups;the incidence rate of ventricular prem ature beat in the first group show ed P<0.05 com pared with the third group;the incidence rate of ventricular fibrillation in the first group shoed P<0.05,com pared with the other two groups.Conclusion The IRA turn-on time after invasion among the AMI sufferers is definitely correlated to reperfusion arrhythm ia.