Short—term therapeutic effect of direct PTCA combined stenting on patients with acute myocardial in— farction and its influence on QTd / 心血管康复医学杂志

ABSTRACT

Objective:To analyze short—term therapeutic effect of direct percutaneous transluminal coronary angio—plasty (PTCA) combined stenting on patients with acute myocardial infarction (AMI ) and its influence on QT dis—persion (QTd).Methods:Clin data of 100 AMI patients treated in our hospital from Jan 2016 to Jan 2017 were ret—rospectively analyzed .According to therapeutic method ,patients were divided into PTCA group (n＝59 ,received PTCA combined stenting) and thrombolysis group (n＝51 ,received recombinant tissue type plasminogen activator treatment ) ,both groups were treated for 3 weeks .Clin therapeutic effect ,QTd ,corrected QTd (QTcd) and prog—nosis were compared between two groups .Results:Compared with thrombolysis group ,there were significant rise in recanalization rate and survival rate ,and significant reduction in incidence rate of complications in PTCA group dur—ing hospitalization and follow—up , P＜ 0.05 or ＜ 0.01. Compared with thrombolysis group after treatment ,there were significant reductions in QTd [ (56.79 ± 12.57) ms vs.(40.26 ± 10.33) ms] and QTcd [ (59.33 ± 10. 18) ms vs.(42. 28 ± 11.57 ) ms] ,and significant rise in nursing satisfaction (88.24% vs.100%) and nursing compliance (84.31% vs.98.31%) in PTCA group , P＜0. 01 all.Conclusion:Direct PTCA combined stenting can significantly improve recanalization rate and survival rate ,reduce incidence rate of complications and improve QTd in AMI pa—tients .When combined with perioperative nursing mode ,it can also significantly improve nursing satisfaction and compliance in these patients ,which is worth application and extension .