择期经皮冠状动脉介入治疗术后围术期心肌梗死的原因及相关危险因素分析

发布时间：2019-03-17 15:55

【摘要】：目的:根据美国心血管造影及介入协会(SCAI)新标准评估经皮冠状动脉介入治疗(PCI)术后围术期心肌梗死(PMI)的相关危险因素。方法:根据最新的SCAI标准选取我院PCI术后PMI的患者3 371例(3 516例次择期PCI),回顾性分析所有患者的临床基线特征、造影结果以及操作特点,应用多因素回归分析识别PMI的独立危险因素。结果:入选患者共发生108次(3.1%)PMI。经多因素回归分析,年龄[比值比(OR)=1.037,95%可信区间(CI):1.016~1.058]、处理多支血管病变(OR=1.697,95%CI:1.095~2.629)、至少处理一处分叉病变(OR=1.869,95%CI:1.213~2.878)以及靶病变总长度(OR=1.016,95%CI:1.009~1.024)是PMI的独立危险因素。结论:年龄、多支病变PCI、至少处理一处分叉病变以及靶病变总长度是发生PMI的独立危险因素。
[Abstract]:Aim: to evaluate the risk factors of perioperative myocardial infarction (PMI) after percutaneous coronary intervention (PCI) according to the new criteria of American Cardiovascular Angiography and Interventional Association (SCAI). Methods: according to the latest SCAI criteria, 3 371 patients with PMI after PCI in our hospital were selected. (3 516 cases of selective PCI),) were retrospectively analyzed the clinical baseline characteristics, angiographic results and operation characteristics of all patients. Multivariate regression analysis was used to identify independent risk factors of PMI. Results: PMI. occurred 108 times (3.1%) in the selected patients. Multivariate regression analysis showed that age [ratio (OR) = 1.037, 95% confidence interval (CI): 1.016 脳 1.058] was used to treat multiple vessel disease (OR=1.697,95%CI:1.095~2.629). At least one bifurcation lesion (OR=1.869,95%CI:1.213~2.878) and total target lesion length (OR=1.016,95%CI:1.009~1.024) were independent risk factors for PMI. Conclusion: age, PCI, treatment of at least one bifurcation lesion and total length of target lesion are independent risk factors for PMI.
【作者单位】：中国医学科学院北京协和医学院国家心血管病中心阜外医院心内科;
【基金】：基金项目:首都临床特色应用与研究推广(No.Z161100000516095)
【分类号】：R542.22

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