NGHIÊN CU GIÁ TR S HI PHN ST
TRONG VIU QU U TR
NG BNH NHÂN NHP
Hung, Nguy
Tim mch Can thip - Hi sc cp c
iêu:
- 75,5), P<0,0001).
. S
.
SUMMARY
VALUES OF ST SEGMENT RESOLUTION IN ASSESSMENT TREATMENT
REPERFUSION AND PROGNOSIS ST-ELEVATION ACUTE MYOCARDIAL
INFARCTION
Objective: Assessing the effectiveness of treatment myocardial reperfusion based on ST
segment resolution. Prognosis of patients with myocardial infarction based on ST segment resolution
Subject and methods: 90 patients in Khanh Hoa Hospital from 01/01/2009 to 30/12/2010
was diagnosed as ST-elevation acute MI.
Methods: Prospective study.
Results:
63.8%, 56.7% in thrombolytic group and 23.1% in rescue PCI, P <0.05.
HPST <50% (OR = 16.0, CI 95% (3.3 - 75.5), (p <0.0001).
Conclusion:
The ST-segment resolution is independent prognostic factor for acute myocardial infarction.
tài:
2.1. Đối tượng nghiên cứu
2.1.1. Tiêu chuẩn chọn bệnh
chênh lên.
nhân có
-
-
-
SH streptokinase [18]:
-
-
-
-
[18]:
- h lên.
-
-
-
-
2.1.2. Tiêu chuẩn loại trừ
-
-
-
- nh trái.
2.2. Phương pháp nghiên cứu: t
2.2.1. Phương pháp đánh giá kết quả [19], [23], [24].
Đánh giá tái tưới máu cơ tim thành công:
-
-
0
ST
60
)/ST
0
*100%
STR: ST Resolution.
ST
0
ST
60
2.3. Phương pháp xử lý thống kê
,5%.
-
NMCT thành
-
p>0,05.
(8,3% và 13,3%), i p<0,0001 .
- 75,5), p<0,0001).
-56,4).
3.12-6 tháng
-
-
1. 404 .
2. 172.
3.
hoc, tr. 112 125.
4.
1998,
Nam, 2000 (21), tr. 584 603.
5.
, tr. 648 62.
6.
,
7. Võ Thành Nhân (2008),
-46.
8.
chênh lên, , 2007, tr.185 193.
9.
1999, (21), tr. 110 118.
10.
, Nhà 505.
11.
12.
139.
13.
- 53 .
14.
435.
15. American College of Cardiology/American Heart Association (2008), Guidelines for the
management of patients with ST elevation Myocardial infarction, J Am Coll Cardiol,
(46), tr. 890 911 .
16. Braunwald (2008), Acute myocardial infarction, Heart disease, tr. 1184 1288 .
17. Eric J Topol (2008), Myocardial infarction, Cardiovascular medicine, Lippincott
Williams & Wilkins, tr. 395 429 .
18. Focused Update 2008 of the ACC/AHA Guidelines for the management of patients with
ST alevation Myocardial Infarction (2008), Circulation, (117), tr. 296 329 .
19. James A.de Lemos (2004), ST segment resolution as a tool for assessing the efficacy of
therapy in patients with acute MI, J Am Coll Cardiol, tr. 1283 1294 .
20. Javid A Malik, G.Q.Khan (2004), Adverse effect profile of Streptokinase therapy in
patients with acute Myocardial Infarction, JK Practitioner, tr. 106 109 .
21. Joseph G (2008), Diagnosis of acute mycardial infarction Right ventricular infarction,
Mayo Clinic Cardiology Review, Lippincott Williams & Wilkins, 171 174 .
22. Lee Y.Y, Zurkumai Y, Sapawi M (2008), Thrombolysis failure with Streptokinase in acute
Myocardial Infarction using electrocardiogram criteria, Singapore Medj, (49), tr. 304 314 .