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直接pci
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  primary pci
    Analysis of Outcomes of Primary PCI and Thrombolytic Therapy in Acute Myocardial Infarction
    直接PCI与溶栓治疗急性心肌梗死的疗效分析
短句来源
    Method:65 patients with STEMI during emergency PCI, divided into two groups, tirofiban+PCI group( n = 36)and primary PCI group( n =29).
    方法:65例急诊入院STEMI行急诊PCI患者,分为试验组(盐酸替罗非班+PCI)36例和对照组(直接PCI29例)。
短句来源
    The Clinical Importance to LVRM of Persistent Elevation of Electrocardiographic ST Segment and BNP Concentration in Acute Myocardial Infarction Patients after Primary PCI Therapy
    急性心肌梗死患者直接PCI治疗后心电图ST段抬高、BNP变化对左室重构的意义
短句来源
    A Compared Study of Facilitated PCI and Primary PCI on Acute Myocardial Infarction
    易化PCI与直接PCI治疗急性心肌梗死的临床对比研究
短句来源
    The Clinical Study of Facilitated PCI and Primary PCI in ST-segment Elevation Acute Myocardial Infarction
    易化PCI与直接PCI治疗ST段抬高急性心肌梗死的临床研究
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  direct pci
    Methods 166 patients with first AMI were derided into two groups according to Killip grade: KillipⅡ~Ⅲgroup 79 cases,43 cases with direct PCI treatment,36 cases with thrombolytic treatment.
    方法首次AMI患者166例,KillipⅡ~Ⅲ级组79例,其中43例行直接PCI治疗,36例予溶栓治疗;
短句来源
    KillipⅠgroup,87 cases,39 cases with direct PCI treatment,48 cases with thrombolytic treatment.
    KillipⅠ级组87例,其中39例行直接PCI治疗,48例予溶栓治疗。
短句来源
    ②Compared with thrombolytic therapy,the incidences of re-ischemia were lower in direct PCI at 1~2 weeks and 24 weeks,in KillipⅡ~Ⅲgroup:9.3% vs 25.0%,18.6% vs 41.7%,P<0.05;
    ②KillipⅡ~Ⅲ级AMI患者住院1~2周、24周时再缺血事件发生率分别为9.3% vs 25.0%、18.6% vs 41.7%,直接PCI组较溶栓组显著降低(P<0.05);
短句来源
    In KillipI group:7.7% vs 12.5%,12.8% vs 22.9%,P<0.05.Conclusions①Compared with throm- bolytic therapy,direct PCI treatment can improve the cardiac function of AMI patients with KillipⅡ~Ⅲgrade,while the results of direct PCI in AMI patients with KillipI grade were similar to thrombolytic therapy.
    KillipⅠ级AMI患者住院1~2周、24周时再缺血事件发生率分别为7.7% vs 12.5%、12.8% vs 22.9%,直接PCI组较溶栓组显著降低(P<0.05)。 结论KillipⅡ~Ⅲ级AMI患者直接PCI较溶栓治疗能更好地改善心室功能,而KillipⅠ级AMI患者直接PCI和溶栓治疗疗效相近。
短句来源
    The relationship between ST segment elevation resolution in electrocardiogram and vascular endothelial function in patients with acute myocardial infarction received direct PCI
    急性心肌梗死直接PCI后心电图ST段回落幅度与血管内皮功能的关系
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  “直接pci”译为未确定词的双语例句
    Effects of preinfarction angina on patients with acute myocardial infarction after direct percutaneous coronary intervention
    梗死前心绞痛对急性心肌梗死患者直接PCI术后的影响
短句来源
    The study of comparing primary-PCI and rescue-PCI after thrombolysis in acute myocardial infarction
    急性心肌梗死直接PCI与溶栓后补救性PCI的对比研究
短句来源
    Changes of TF,TFPI in Plasma and the Clinical Studying in Patients with Acute Myocardial Infarction Undergoing PCI
    急性心肌梗死患者直接PCI前后血浆TF、TFPI水平的变化及其临床意义
短句来源
    The incidence of reperfusion arrhythmia in p-PCI group was also significantly higher than that in thrombolysis group(63.2% vs 37.9%, P<0.01).
    2、直接PCI组再通率为90.8%,显著高于溶栓组(56.9%,P<0.01),而且直接PCI组患者再灌注心律失常(包括频发室早、加速性室性自搏率、室速、室颤及窦性心动过缓)发生率也明显高于溶栓组(63.2%vs 37.9%,P<0.01)。
短句来源
    3. The rate of Killip class II and III in hospital period were no significant difference in the two groups, but compared with thrombolysis group, the rate of Killip class I in p-PCI group was significantly higher (68.4% vs 50.9%, P<0.05), and the rate of Killip classIV in p-PCI group was significantly lower (0% vs 6.0%, P<0.05).
    3、住院期直接PCI组患者KillipⅡ和Ⅲ级比率与溶栓组相比(27.6%vs 32.8%和3.9%vs 10.3%),均无显著性差异(P>0.05); 而KillipⅠ级的比率,直接PCI组明显高于溶栓组(68.4%vs 50.9%,P<0.05);
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  primary pci
This recommendation is based on several prospective randomized trials, which document a benefit of primary PCI over lytic therapy for several clinical endpoints.
      
The effects of facilitated primary PCI by guide wire on procedural and clinical outcomes in acute ST-segment elevation myocardia
      
However, with significant improvements in the procedural success of PCI, there has been a concomitant reduction in the need for emergency bypass surgery and there is evidence to support primary PCI without on-site cardiac surgical facilities.
      
Others have proposed immediate transfer to a suitable hospital for immediate primary PCI.
      
An alternative treatment strategy is facilitated PCI, which might combine the early benefits of thrombolysis with the higher patency rates and superior clinical outcomes of primary PCI, although this remains unproven.
      
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  direct pci
During the second period, all patients presenting with inferior AMI received exclusively a direct PCI regimen.
      
Patients who underwent direct PCI received an additional bolus of 7,500 U of heparin after sheath placement.
      
There is accumulating evidence that direct PCI is very effective for the treatment of RVI.
      
The question, however, whether direct PCI is superior to fibrinolytic therapy has never been addressed in the setting of RVI infarction.
      
We proved perfect outcome in patients with ACS treated with direct PCI.
      


Objective A dynamic survey of left ventricle structure and function of patients with acute myocardial infarction (AMI) who received direct percutaneous transluminal coronary interventional therapy (PCI) was carried out to evaluate the influence of direct PCI on the prognosis of AMI.Methods Among 61 cases attacked AMI within 12 to 24 hours and unreceived vein thrombolysis, 31 cases were given a direct PCI therapy within 24 hours and unreceived vein thrombolysis (therapy group),30 cases were without...

Objective A dynamic survey of left ventricle structure and function of patients with acute myocardial infarction (AMI) who received direct percutaneous transluminal coronary interventional therapy (PCI) was carried out to evaluate the influence of direct PCI on the prognosis of AMI.Methods Among 61 cases attacked AMI within 12 to 24 hours and unreceived vein thrombolysis, 31 cases were given a direct PCI therapy within 24 hours and unreceived vein thrombolysis (therapy group),30 cases were without PCI therapy (control group ).All the patients were examined with ultrasonic cardiogram and the global wall motion score indices (GWMI),regional wall motion score indices (RWMI),left ventricular end diastolic volume index (LVEDVI),left ventricular end systolic volume index (LVESVI),and ejection fraction (EF) were measured in the 1st month and the 6th month, respectively.Results There were no significant differences in all the above indexes between the two groups in the 1st months. In the 6th month, GWMI and RWMI in therapy group had significant improvement compared with those in acute phase(P< 0.01 ),there was no obvious improvement in control group (P> 0.05 ); in the 6th month,GWMI and RWMI in therapy group significantly better than those in control group (P< 0.01 ). A self comparison between the 1st month and 6th month showed that the LVEDVI and LVESVI of therapy group didn't increase significantly (P> 0.05 ); but EF raised significantly (P< 0.01 ); while the LVESVI and LVESVI increased in control group (P< 0.05 ),and EF had no difference (P> 0.05 ).LVEDVI and LVESVI of therapy group was significantly lower than that of control group(P< 0.01 ),while EF was significantly higher(P< 0.01 ) in 6th month.Conclusions To the patients who could not be given vein thrombolysis therapy afetr AMI,the direct PCI treatment could restrain the stretch of ventricle and improve left ventricle recostitution.Echocardiography is useful to evaluate the effect of direct PCI therapy.

目的 观察急性心肌梗死 (AMI)直接经皮冠状动脉介入 (PCI)治疗患者的左心结构和功能 ,探讨直接PCI对AMI预后的影响。方法 对发病 12~ 2 4h的未接受静脉溶栓的 61例AMI患者 ,在发病 2 4h之内行直接PCI术患者 3 1例作为治疗组 ,未行直接PCI患者 3 0例作为对照组 ,于心肌梗死后第 1个月及第 6个月分别进行超声心动图检查 ,测定整体室壁运动指数 (GWMI)和局部室壁运动指数 (RWMI)、左心室舒张末期容积指数 (LVEDVI)和左心室收缩末期容积指数 (LVESVI)及射血分数 (EF)。结果 以上各项指标在第 1个月时两组比较差异均无显著性意义。在第 6个月时治疗组GWMI及RWMI较急性期有明显的改善 (P <0 .0 1) ;对照组的室壁运动则无明显改善 (P >0 .0 5 ) ;第 6个月治疗组室壁运动明显优于对照组 (P <0 .0 1)。心肌梗死后第 1个月与第 6个月自身比较 :治疗组LVEDVI及LVESVI无明显增加 (P >0 .0 5 ) ,但EF明显提高 (P <0 .0 1) ;而对照组LVEDVI及LVE...

目的 观察急性心肌梗死 (AMI)直接经皮冠状动脉介入 (PCI)治疗患者的左心结构和功能 ,探讨直接PCI对AMI预后的影响。方法 对发病 12~ 2 4h的未接受静脉溶栓的 61例AMI患者 ,在发病 2 4h之内行直接PCI术患者 3 1例作为治疗组 ,未行直接PCI患者 3 0例作为对照组 ,于心肌梗死后第 1个月及第 6个月分别进行超声心动图检查 ,测定整体室壁运动指数 (GWMI)和局部室壁运动指数 (RWMI)、左心室舒张末期容积指数 (LVEDVI)和左心室收缩末期容积指数 (LVESVI)及射血分数 (EF)。结果 以上各项指标在第 1个月时两组比较差异均无显著性意义。在第 6个月时治疗组GWMI及RWMI较急性期有明显的改善 (P <0 .0 1) ;对照组的室壁运动则无明显改善 (P >0 .0 5 ) ;第 6个月治疗组室壁运动明显优于对照组 (P <0 .0 1)。心肌梗死后第 1个月与第 6个月自身比较 :治疗组LVEDVI及LVESVI无明显增加 (P >0 .0 5 ) ,但EF明显提高 (P <0 .0 1) ;而对照组LVEDVI及LVESVI均增加 (P <0 .0 5 ) ,EF值无明显改变 (P >0 .0 5 )。第 6个月后治疗组LVEDVI及LVESVI明显小于对照组 (P <0 .0 1) ,而EF值明显高于对照组 (P <0 .0 1)。结论 AMI后对于未能溶栓的病例行直接PCI术治疗能抑制心室扩张 ,改善左心室重塑 ,而超声心动图评价AMI直接PCI有?

Objective To investigate the long-term clinical outcomes in patients with anterior wall acute myocardial infarction ( AW-AMI) and non AW-AMI ( NAW-AMI) referred to primary percutaneous coronary intervention (P-PCI). Methods 287 patients with AMI who consecutively underwent primary PCI were divided into AW-AMI group (142 cases) and NAW-AMI group (145 cases) according to different location of myocardial infarction. The baseline characteristics and coronary artery lesions of patients were analysed. The primary...

Objective To investigate the long-term clinical outcomes in patients with anterior wall acute myocardial infarction ( AW-AMI) and non AW-AMI ( NAW-AMI) referred to primary percutaneous coronary intervention (P-PCI). Methods 287 patients with AMI who consecutively underwent primary PCI were divided into AW-AMI group (142 cases) and NAW-AMI group (145 cases) according to different location of myocardial infarction. The baseline characteristics and coronary artery lesions of patients were analysed. The primary end points were in-hospital mortality and the major cardiovascular events (MACE) during a mean 17.3±9.8 month follow-up including the occurrences of non-fatal myocardial infarction, non-fatal congestive heart failure, revascularization of target vessels and overall cardiac-related death. Results The peak value of CK and CK-MB were significantly higher (3 533±2 888) U/L vs (2 322 ± 1 638)U/L, (158 ± 197) U/L vs (95 ± 64) U/L, all P < 0.01), and left ventricular ejection fraction decreased (0.55 ± 0.13 vs 0.61 ± 0.12, P < 0.05) and in-hospital mortality increased significantly (4.1% vs 0, P <0.05) in AW-AMI group than in NAW-AMI group. At a follow-up of mean 17.3±9.8 month, the incidences of non-fatal heart failure, total cardiac-related mortality and combined end points in AW-AMI group increased significantly than those in NAW-AMI group (all P < 0.05). Multivariate analysis revealed that anterior location of myocardial infarction and proximal left anterior descending coronary artery (LAD) lesion were associated with the occurrence of cardiac-related death in patients with AMI after procedure of PCI(all P<0.05) .Conclusion Anterior location of myocardial infarction is associated with a higher incidence of MACE. The long-term clinical outcomes are poorer in patients with AW-AMI than NAW-AMI referred to primary PCI.

目的 探讨急性前壁与非前壁急性心肌梗死(AMI)患者直接经皮冠状动脉介入干预(PCI)后临床远期预后。方法 连续行直接PCI的287例AMI患者根据心肌梗死的不同部位分成急性前壁心肌梗死组(AW-AMI组,142例)和急性非前壁心肌梗死组(NAW-AMI组,145例),分析其临床基本特征、冠状动脉病变特点,主要观察终点为住院期病死率与随访期(平均17.3±9.8个月)主要心血管事件(MACE),包括非致命心肌梗死,非致命心力衰竭,靶血管血运重建及总心脏性死亡的发生率。结果 与NAW-AMI组比较,AW-AMI组的CK与CK-MB峰值显著升高[(3 533±2 888)U/L比(2322±1638)U/L,(158±197)U/L比(95±64)U/L,P均<0.01],左室射血分数降低(0.55±0.13比0.61±0.12,P<0.05)以及住院期病死率增高(4.1%比0,P<0.05)。平均随访17.3±9.8)个月,AW-AMI组的非致命性心力衰竭、总心脏死亡率及复合终点事件发生率高于NAW-AMI组(P均<0.05)。多变量分析显示,前壁心肌梗死和前降支近段病变与AMI患者直接PCI...

目的 探讨急性前壁与非前壁急性心肌梗死(AMI)患者直接经皮冠状动脉介入干预(PCI)后临床远期预后。方法 连续行直接PCI的287例AMI患者根据心肌梗死的不同部位分成急性前壁心肌梗死组(AW-AMI组,142例)和急性非前壁心肌梗死组(NAW-AMI组,145例),分析其临床基本特征、冠状动脉病变特点,主要观察终点为住院期病死率与随访期(平均17.3±9.8个月)主要心血管事件(MACE),包括非致命心肌梗死,非致命心力衰竭,靶血管血运重建及总心脏性死亡的发生率。结果 与NAW-AMI组比较,AW-AMI组的CK与CK-MB峰值显著升高[(3 533±2 888)U/L比(2322±1638)U/L,(158±197)U/L比(95±64)U/L,P均<0.01],左室射血分数降低(0.55±0.13比0.61±0.12,P<0.05)以及住院期病死率增高(4.1%比0,P<0.05)。平均随访17.3±9.8)个月,AW-AMI组的非致命性心力衰竭、总心脏死亡率及复合终点事件发生率高于NAW-AMI组(P均<0.05)。多变量分析显示,前壁心肌梗死和前降支近段病变与AMI患者直接PCI治疗后心脏性死亡发生相关(P均<0.05)。结论 前壁心肌梗死与主要心血管事件发生率增高有关,AW-AMI行直接PCI患者的长期临床预后较NAW-AMI行直接PCI者差。

Objective To evaluate the efficacy and safety of intravenous thrombolysis with urokinase combined with emergency interventional therapy for acute myocardial infarction(AMI). Methods Fifty two patients with first AMI (≤12 h from onset)were randomized to thrombolysis plus PCI group and primary PCI group,the patency rate of infarct related artery (IRA) before intervention,the procedural success rate,the incidence of bleeding complications and acute ischemic events during hospitalization and the left ventricular...

Objective To evaluate the efficacy and safety of intravenous thrombolysis with urokinase combined with emergency interventional therapy for acute myocardial infarction(AMI). Methods Fifty two patients with first AMI (≤12 h from onset)were randomized to thrombolysis plus PCI group and primary PCI group,the patency rate of infarct related artery (IRA) before intervention,the procedural success rate,the incidence of bleeding complications and acute ischemic events during hospitalization and the left ventricular ejection fraction (LVEF) measured by echocardiography before discharge were compared.Results The IRA patency rate in the thrombolysis plus PCI group (61 5%) was significantly higher than that in the primary PCI group (19 2%) ( P <0 05),the procedural success rate was 100% with TIMI Ⅲ flow of 92 2% and 91 5% in the two groups ( P >0 05),no major bleeding complication and acute ischemic event occurred during hospitalization in both groups,the LVEF in the thrombolysis plus PCI group (64 3±5 6)% was higher than that in the primary PCI group(54 8±4 9)% before discharge ( P <0 05).Conclusion Intravenous thrombolysis with urokinase combined with emergency interventional therapy for AMI was safe and effective with a higher early patency rate,better cardiac function and no major bleeding complications.

目的 探讨联合应用尿激酶静脉溶栓与急诊介入疗法治疗急性心肌梗死 (AMI)的有效性和安全性。方法  5 2例发病≤ 12h的首次AMI患者随机分为溶栓 +经皮冠状动脉介入治疗 (PCI)组 (2 6例 )和直接PCI组 (2 6例 ) ,对两组患者介入治疗前梗死相关血管 (IRA)通畅率、介入治疗成功率、出血并发症发生率、住院期间急性缺血事件发生率及出院前左心室功能 (LVEF)进行比较。结果 介入治疗前溶栓 +PCI组IRA通畅率 (6 1 5 %)显著高于直接PCI组 (19 2 %) (P <0 0 5 ) ,两组介入治疗成功率均为 10 0 %,其中TIMIⅢ级血流者分别为 96 2 %和 91 5 %(P >0 0 5 ) ;住院期间两组均无严重出血及急性缺血事件发生 ,出院前经超声心动图测得LVEF在溶栓 +PCI组为 (6 4 3± 5 6 ) %,明显高于直接PCI组 (5 4 8± 4 9) %(P <0 0 1)。结论 尿激酶静脉溶栓联合急诊介入疗法治疗AMI早期再通率高 ,更有利于保护左室功能 ,不增加出血并发症。

 
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