查詢結果分析
來源資料
相關文獻
- Comparison of Three Infarct-related Coronary Arteries
- 急性心肌梗塞病患未接受緊急經皮冠狀動脈氣球擴張術之原因及預後之探討
- 臺灣臨床成效指標系統施行後急性心肌梗塞經心導管介入之患者接受心臟復健現況
- Successful Treatment of Acute Inferior Myocardial Infarction by Percutaneous Coronary Intervention in a Patient with Upper Gastrointestinal Bleeding: A Case Report
- 緩解經皮冠狀動脈介入治療後背痛之照護經驗
- Acute Myocardial Infarction with Simultaneous Involvement of Right Coronary Artery and Left Anterior Descending Artery: A Case Report
- Low Use of Statins in Patients with Acute Myocardial Infarction: A Single Center Experience
- 急性心肌梗塞出院後一年間左心室功能及預後
- Statin Therapy is Associated with Improved Clinical Outcomes in Patients Undergoing Emergency Percutaneous Coronary Intervention
- Complicated Urinary Tract Infection: Analysis of 179 Patients
頁籤選單縮合
題 名 | Comparison of Three Infarct-related Coronary Arteries=心肌梗塞相關的三條冠狀動脈之比較 |
---|---|
作 者 | 許建清; 李畊緯; | 書刊名 | 南臺學報 |
卷 期 | 40:1 2015.03[民104.03] |
頁 次 | 頁21-26 |
分類號 | 415.3161 |
關鍵詞 | 急性心肌梗塞; 左迴旋支; 經皮冠狀動脈介入治療; 預後; Acute myocardial infarction; Left circumflex coronary artery; Percutaneous coronary intervention; Prognosis; |
語 文 | 英文(English) |
中文摘要 | 目前鮮少有比較左迴旋支、左前降支與右冠狀動脈急性心肌梗塞的研究。因此我們在2004年至2010年期間,於台灣一間840床的醫院收集了18歲以上罹患急性心肌梗塞並有進行經皮冠狀動脈介入治療的病人。我們總共收集了222病人,分成三組:55位左迴旋支梗塞、94位左前降支梗塞與71位右冠狀動脈梗塞。我們以30天死亡率、1年內再住院率與1年內死亡率作為比較終點。研究結果發現這三組不論年齡、性別、body mass index(BMI)以及有關冠狀動脈心臟病的危險因子都無差別。與其他二組比較,左迴旋支組病人較少有喘的症狀(P = 0.045) 及心電圖ST-segment變化 (P < 0.001),但是有較延遲的door-to-diagnosis (P < 0.001)及door-to-balloon (P = 0.015)的時間。三組的30天死亡率、1年內再住院率與1年內死亡率皆無差別。我們的結論是左迴旋支梗塞的病人因為比較少有喘的症狀與心電圖ST-segment變化導致診斷容易被延遲,然而,預後並無明顯差別。 |
英文摘要 | Little is known about patients with left circumflex artery (LCX) infarct-related acute myocardial infarction (AMI) and how it compares with left anterior descending artery (LAD) and right coronary artery (RCA) AMI. The clinical features and effects of patients with LCX, LAD, and RCA infarct-related AMI may be different. The data for this study were collected in an 840-bed hospital in Taiwan. Consecutive adult patients (> 18 years) visiting the Emergency Department between August 2004 and March 2010 were enrolled if they satisfied the criteria of acute myocardial infarction and underwent primary percutaneous coronary intervention. The 222 patients enrolled were divided into three infarct-related artery groups: 55 in LCX, 94 in LAD, and 71 in RCA. Thirty-day mortality, readmission < 1 year, and death < 1 year were the primary endpoints. Age, gender, body mass index, and risk factors for coronary artery disease in the three groups were not significantly different. Patients in the LCX group had fewer dyspnea symptoms (P = 0.045) and ST-segment change (P < 0.001), but significantly different door-to-diagnosis (P < 0.001) and door-to-balloon (P = 0.015) delay time. There were no differences in thirty-day mortality, readmission rate < 1 year, or death rate < 1 year between the three groups. We found that patients in the LCX group had fewer dyspnea symptoms and ST-segment changes than those in the LAD and RCA groups, which might cause a delayed diagnosis and treatment. However, outcomes were not significantly different between the groups. |
本系統中英文摘要資訊取自各篇刊載內容。