Abstract：Objective: To investigate the clinical efficacy of temporary pacemaker in the treatment of acute myocardial infarction with slow arrhythmia. Methods: 100 cases of acute myocardial infarction with slow arrhythmia patients admitted to our hospital in March 2010 to March 2017 selected in random number table method were divided into two groups. Patients in the control group were given drug therapy + interventional therapy, and patients in the experimental group were treated with temporary pacemakers. The disease related parameters, myocardial perfusion classification, cardiac function, reperfusion injury, follow-up cardiovascular events and quality of life were compared between the two groups. Results: Compared with the control group, the systolic blood pressure, diastolic blood pressure and left ventricular ejection fraction were significantly higher in the experimental group than those in the control group. The left ventricular end diastolic diameter, left ventricular systolic diameter, BNP, CK-MB and cTnT (P <0.05) . There was significant difference between the TIMI grade and the NYHA grade in the control group. The incidence of cardiovascular events was significantly lower than that of the control group. The quality of life scores were significantly higher than those of the control group at 6 months after treatment (P <0.01). The incidence of total reperfusion injury was significantly higher than that of the control group (P <0.05). Conclusion: The clinical efficacy of temporary pacemaker treatment with acute myocardial infarction complicated with slow arrhythmia is significant and has reference significance.
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2017, Vol. 23 
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