急性心肌梗死直接PCI术后无复流患者的临床特点及CRP水平测定

急性心肌梗死直接PCI术后无复流患者的临床特点及CRP水平测定

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-02-25

Measure the Clinical Characteristics and CRP Levels for Acute Myocardial Infarction in Patients with No-reflow after PCI

Received:1900-01-01 Revised:1900-01-01 Online:2012-02-25

摘要/Abstract

摘要： 目的:分析急性心肌梗死直接PCI术后发生无复流患者的临床特点以及CRP水平测定。方法:入选117例罪犯血管为左前降支(LAD),并接受直接PCI治疗的急性ST段抬高型前壁心肌梗死患者,根据直接PCI术后MBG心肌灌注分级分为复流组和无复流组。对两组患者的临床特点进行分析,另外通过静脉采血,测定患者血清C反应蛋白(CRP)水平。结果:直接PCI术后罪犯血管发生无复流的患者,血清CRP水平高于未发生无复流的患者[(2.93±1.07)mg/dLvs(2.51±1.14)mg/dL,P<0.05]。结论:直接PCI术后罪犯血管发生无复流可能和炎症机制相关。

Abstract: Objective:To analysis the clinical characteristics of acute anterior wall ST-segment elevation myocardial infarction(STEMI) patients with no-reflow after primary PCI,and CRP levels were measured.Methods:Enrolled 117 Anterior wall STEMI patients underwent primary PCI and the culprit artery is Left anterior descending artery(LAD),all patients were divided into reflow group and no-reflow group according to angiographic myocardial blush grade(MBG) after primary PCI.Clinical characteristic of the two groups were analysed and Blood sample was collected and the content of C-reactive protein(CRP) was assayed.Results:Serum CRP level was higher in patients with no-reflow after primary PCI than that in patients with reflow after primary PCI[(2.93±1.07) mg/dL vs(2.51±1.14) mg/dL,P<0.05].Conclusions:No re-flow after primary PCI may be relevant to inflammatory mechanisms.

. 急性心肌梗死直接PCI术后无复流患者的临床特点及CRP水平测定[J]. .

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