Equilibrium Radionuclide Angiography for Evaluating the Effect of Facilitated Percutaneous Coronary Intervention on Ventricular Synchrony in Patients With Acute Myocardial Infarction

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著者

    • LIU Jun
    • Department of Cardiology, The 1st Hospital of Hebei Medical University
    • FU Xiang-hua
    • Department of Cardiology, The 2nd Hospital of Hebei Medical University, Institute of Hebei Province of Cardio-Cerebrovascular Disease
    • XUE Ling
    • Department of Cardiology, The 2nd Hospital of Hebei Medical University, Institute of Hebei Province of Cardio-Cerebrovascular Disease
    • WU Wei-li
    • Department of Cardiology, The 2nd Hospital of Hebei Medical University, Institute of Hebei Province of Cardio-Cerebrovascular Disease
    • GU Xin-shun
    • Department of Cardiology, The 2nd Hospital of Hebei Medical University, Institute of Hebei Province of Cardio-Cerebrovascular Disease
    • LI Shi-qiang
    • Department of Cardiology, The 2nd Hospital of Hebei Medical University, Institute of Hebei Province of Cardio-Cerebrovascular Disease

抄録

<b><i>Background:</i></b> It is unclear whether facilitated percutaneous coronary intervention (PCI) via a transradial approach therapy is preferable to primary PCI, with improved ventricular synchrony performance (VS), in Chinese patients. <b><i>Methods and Results:</i></b> The 152 patients with their first anterior acute myocardial infarction (AMI) were randomized to a primary PCI group or facilitated PCI group. In the 1<sup>st</sup> week and 6<sup>th</sup> month after AMI onset, the parameters of VS were measured by equilibrium radionuclide angiography with ventricular phase analysis. The rate of TIMI grade-3 flow in the infarct-related artery pre-PCI in the facilitated PCI group was higher than that in the primary PCI group (30.56% vs. 8.45%, P=0.001). At the 6<sup>th</sup> month post-AMI, the parameters of time to peak ejection rate, phase shift and peak phase standard deviation were lower than in the primary PCI group (P<0.05, respectively). The incidence of recurrent ischemia and new or worsening congestive heart failure post-AMI in the facilitated PCI group was significantly lower than that in the primary PCI group (2.78% vs. 9.86%, P=0.043; 2.78% vs. 12.68%, P=0.028). <b><i>Conclusions:</i></b> Facilitated PCI via a transradial approach might significantly inhibit left ventricular remodeling and improve left ventricular function because of the complete, persistent patency of the infarct-related artery with few complications of vessel access and bleeding. (<i>Circ J</i> 2012; <b>76:</b> 928-935)<br>

収録刊行物

  • Circulation journal : official journal of the Japanese Circulation Society

    Circulation journal : official journal of the Japanese Circulation Society 76(4), 928-935, 2012-03-25

    一般社団法人 日本循環器学会

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各種コード

  • NII論文ID(NAID)
    10030131395
  • NII書誌ID(NCID)
    AA11591968
  • 本文言語コード
    ENG
  • 資料種別
    ART
  • ISSN
    13469843
  • データ提供元
    CJP書誌  J-STAGE 
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