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学科主题临床医学
Assessment of Coronary Artery Flow Velocity Pattern as a Long-Term Predictor of Left Ventricular Function and Cardiac Events after Percutaneous Coronary Intervention in Anterior Acute Myocardial Infarction
Feng, Jieli; Li, Zhaoping; Zhang, Fuchun; Li, Weihong; Feng, Xinheng; Mao, Jieming; Gao, Wei
关键词Coronary Flow Velocity Acute Myocardial Infarction Left Ventricular Function Cardiac Events
刊名INTERNAL MEDICINE
2010
DOI10.2169/internalmedicine.49.3297
49期:16页:1693-1701
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]ST-SEGMENT ELEVATION ; WALL-MOTION RECOVERY ; PERFUSION GRADE ; DOPPLER-ECHOCARDIOGRAPHY ; PRIMARY ANGIOPLASTY ; CREATINE-KINASE ; BLUSH GRADE ; REPERFUSION ; THROMBOLYSIS ; RESOLUTION
英文摘要

Background Coronary flow velocity (CFV) can be used to assess short-term left ventricular function recovery and the clinical prognosis of patients with acute myocardial infarction (AMI). We evaluated CFV as a predictor of long-term left ventricular function recovery and cardiac events in patients with anterior wall AMI.

Methods and Results CFV pattern of the distal left anterior descending (LAD), wall motion score index (WMSI) and left ventricular ejection fraction (LVEF) were recorded at the points of time within 24 hours, 3 days, 6 months, and 3 years after percutaneous coronary intervention (PCI) in 50 consecutive patients with anterior wall AMI. The clinical data were collected. Patients were divided into two groups based on diastolic deceleration time (DDT) 3 days after PCI. Compared with 3 days, LVEF and WMSI in group A (DDT>600 ms, n=20) improved in 6 months and 3 years (p<0.01), but they were unchanged in group B (DDT <= 600 ms, n= 30). The incidence of cardiac events was higher in group B than in group A during 6 months (p<0.01). With a 3-year follow up, the incidence of chronic heart failure was higher in group B than in group A (p=0.009).

Conclusion CFV could be used as a predictor of long-term left ventricular function recovery and cardiac events in patients with anterior wall AMI.

语种英语
WOS记录号WOS:000281148200001
资助机构Department of Cardiology, Peking University Third Hospital, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50691
专题北京大学第三临床医学院_心血管内科
作者单位Peking Univ, Dept Cardiol, Hosp 3, Key Lab Mol Cardiovasc Sci,Minist Educ, Beijing, Peoples R China
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GB/T 7714
Feng, Jieli,Li, Zhaoping,Zhang, Fuchun,et al. Assessment of Coronary Artery Flow Velocity Pattern as a Long-Term Predictor of Left Ventricular Function and Cardiac Events after Percutaneous Coronary Intervention in Anterior Acute Myocardial Infarction[J]. INTERNAL MEDICINE,2010,49(16):1693-1701.
APA Feng, Jieli.,Li, Zhaoping.,Zhang, Fuchun.,Li, Weihong.,Feng, Xinheng.,...&Gao, Wei.(2010).Assessment of Coronary Artery Flow Velocity Pattern as a Long-Term Predictor of Left Ventricular Function and Cardiac Events after Percutaneous Coronary Intervention in Anterior Acute Myocardial Infarction.INTERNAL MEDICINE,49(16),1693-1701.
MLA Feng, Jieli,et al."Assessment of Coronary Artery Flow Velocity Pattern as a Long-Term Predictor of Left Ventricular Function and Cardiac Events after Percutaneous Coronary Intervention in Anterior Acute Myocardial Infarction".INTERNAL MEDICINE 49.16(2010):1693-1701.
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