急性心肌梗塞经皮腔内冠状动脉成形术——球囊导管类型与再灌注心律失常Direct PTCA of acute myocardial infarction-the relationship between type of balloon catheter and reperfu-sion arrhythmia
李传昶,欧淑其,玉井秀男,许永胜
摘要(Abstract)：
分析97例急性心肌梗塞(AMI)患者接受直接经皮腔内冠状动脉成形术(PTCA)治疗时,不同类型球襄导管与再灌注心律失常(RA)的关系.普通球襄导管组心律失常的总发生率为55.4%,而灌注式球囊导管组心律失常的发生率仅为34.4%,且心律失常的严重程度远较普通球囊导管组为轻.直接PTCA时,灌注式球囊导管能降低RA的发生率及其严重程度.
关键词(KeyWords)： 急性心肌梗塞;直接PTCA;再灌注心律失常
基金项目(Foundation):
作者(Author): 李传昶,欧淑其,玉井秀男,许永胜
参考文献(References)：
- [1]玉井秀男.Direct PTCA手技上要点.心血管,1991,6(Suppl):56
- [2]Hartjler GO,Rutherford BD,Mcconahay DR,et al. Percutaneous transluminal coronary angioplasty with and without thromblytic therapy for treatment of acute myocrdial infarction.Am Heart J,1983,106:965.
- [3]Rothbaum DA,Linnemeier TJ,Landin RJ,et al. Emergency percutaneous transluminal coronary angioplasty in acute myocadial infarction:a 3 year experience.J Am Coll Cardiol,1987,10:264.
- [4]高润霖.姚康宝,陈纪林,等.急性心肌梗塞的再灌注心律失常.中华心血管病杂志,1992,20:84.
- [5]Goldberg S,Greenspon AJ,Urban PL,et al.Reperfusion arrhythmias:a marker of restoration of antegrade flow during intracoronary thrombolysis for acute myocardial infarction. Am Heart J, 1983, 105:26.
- [6]Miller FC, Krucoff MW, Satler LF, et al. Ventricular arrhythmia during reperfusion. Am Heart J, 1986, 112:928.
- [7]Cheung JY, Bonventre JV, Malis CD, et al. Calcium and ischimia injury. IV Eng J Med, 1986, 314:1670.
- [8]Bolli R, Patel BS, Jeroudi MC, et al. Demonstration of free radical generation in“stunned”myocardium of infarction dogs with the use of the spin trap alpha-phenyl N-tert-butyl nitrone.J Clin Invest, 1988, 82:476.
- [9]Nakaya H, Tohse N,Kanno M. Electrophysiological derangements induced by lipid peroxidation in cardiac tissue. Am J Physiol,1987,253:H 1089.