Comparison of the influence of different methods of perfusion on short-term prognosis in elderly patients with acute myocardial infarction / 中国基层医药

ABSTRACT

Objective To compare the effect of different perfusion methods on early outcomes of elderly patients with acute myocardial infarction.Methods The clinical data of 110 cases including EKG,echocardiogram and angiography were retrospectively analyzed.Of these patients,45 cases were treated by primary percutaneous coronary intervention (PCI),30 cases by intravenous thrombolysis,and 35 cases by PCI combined with intravenous thrombolysis therapy.The incidence rate of cardiovascular events during hospitalization,no reflow incidence,average hospitalized staying time,left heart function and Killip cardiac function grade at 3 months were compared between the three groups.Results There was no significant difference on incidence rate of cardiovascular events between the three groups (P ＞ 0.05).Compared with PCI group and intravenous thrombolysis group,the combination group had lower no reflow incidence,less hospital time and lower Killip cardiac function grade (P ＜ 0.05).In addition,the parameters of LVEF,CI and SVI of combination group were significantly higher than other groups after 3 months (P ＜ 0.05).Conclusion PCI combined with intravenous thrombolysis was safe and effective in treatment of elderly STEMI patients,which could obviously decrease the no reflow rate,improve cardiac function and the early outcomes.