Clinical Study of Percutaneous Coronary Intervention(PCI) on Cardiac Function of Elderly Patients with Acute Myocardial Infarction complicated with Diabetes Mellitus
WANG Wenfeng, JIN Dapeng, JU Mingfei, et al
The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China
Abstract:Objective: Objective: To observe the effect of percutaneous coronary intervention(PCI)on cardiac function of elderly patients with acute myocardial infarction complicated with diabetes mellitus.Methods: The elderly patients with acute myocardial infarction complicated with diabetes mellitus were divided into two groups, PCI group and control group. The patients were given anti-neurohormone drug and then were followed up 6 months. The heart function and changes of ventricular remodeling were compared in statistical aspect between two groups. Results: The improvement of heart function and change of ventricular remodeling were significantly different in statics between two groups. Conclusion: PCI can significantly improve heart function and inhibit ventricular remodelling of the elderly patients with acute myocardial infarction complicated with diabetes mellitus.
王文丰, 金大鹏, 巨名飞, 史菲, 霍明艳. 介入治疗对合并糖尿病的老年急性心肌梗死患者心脏功能影响的临床研究[J]. 河北医学, 2017, 23(8): 1301-1303.
WANG Wenfeng, JIN Dapeng, JU Mingfei, et al. Clinical Study of Percutaneous Coronary Intervention(PCI) on Cardiac Function of Elderly Patients with Acute Myocardial Infarction complicated with Diabetes Mellitus. 河北医学, 2017, 23(8): 1301-1303.
[1] 王文丰,杨庭树.心肌梗死后拮抗神经内分泌治疗以逆转心室重构[J].中华老年心脑血管病杂志,2005,7:20~23. [2] 张宇晨,赵林,陈方.ST段抬高型心肌梗死经皮冠状动脉介入治疗预后的影响因素分析[J].中国实用内科杂志,2012,32:859~861. [3] 谢秀峰,崔晓迎,陈凤英,等.心肌梗死经皮冠状动脉介入治疗远期疗效分析[J].中国动脉硬化杂志,2013,21(1)69~73. [4] 邓长金,成威,陈亚峰,等.急性心肌梗死急诊介入治疗对心功能的影响[J].心血管康复医学杂志,2012,21(1):64~67. [5] Grines C,Patel A, Zijlstra F ,et al. Primary coronary angioplasty compared with intrabenous thrombolytic therapy for acute myocardial infarction: six-minth follow up and analysis of individual patient data from randomized trials[J].Am Heart, 2003,145(1):47~57. [6] 王崇慧,黄锐,方全,等.年龄对接受急诊冠状动脉介入术治疗急性ST段抬高心肌梗死患者临床预后的影响[J].中国心血管杂志,2010,15:174~177. [7] 宋光远,吴永健,杨跃进,等.糖尿病对急性ST段抬高性心肌梗死后心力衰竭的影响[J].中国循环杂志,2008,23(3):196~197. [8] Walleatin L.Invasive comparedwith na-Invasive treatment in unstale coronary artery disease: FRISC Ⅱ prospective randamised multi-centre study.Fragmin and fast Revascularisation during Istability incoronary artery disease(FRISC Ⅱ) investigator[J].Lancet, 1999.354:708~715. [9] Cannon CP,Weintraub WS, Demopoulous LA, et al.TACTTCS-Trombolysis in myocandial infarction 18 investtigators Comparison of early invasive and conservative strategies in patient with unstable coronary syndromes treated with the glycoprotein Ⅱb/ⅡIa inhabitor tirofiban[J].N Eng Med, 2001,44:1879~1887.