Early Effect On LVEF,LVED And Serum NT-proBNP Level Of The Acute Myocardial Infarction Patients With Emergency PCI

Objective To observe the early Early effect on LVEF,LVED and serum NT- pro BNP levels of the acute myocardial infarction patients with emergency PCI.Methods According to the clinical symptoms, electrocardiogram(ECG), myocardial enzyme spectrum, forty AMI patients were divided into two groups :emergency PCI group and selective PCI group.The LVEF, LVED and serum NT – pro-BNP levels of the two groups of patients were studied respectively at the first day in hospital, one week and one month after PCI procedures. To observe the differences of LVEF,LVED,and serum NT – pro BNP levels in two groups of acute myocardial infarction patients with PCI.Result There were no significant difference(48.09±1.88 vs 48.52±2.16 t=0.667,P>0.05)of LVED(mm) between Emergency PCI and selective PCI group at the first day in hospital. There were significant differences of LVED after one week(52.84±1.53 vs 50.03±1.32 t=6.189,P < 0.05 and one month post PCI procedures(52.17±2.34 vs 49.26±2.46 t=7.691,P < 0.05). There were no significant differences of the serum NT-pro-BNP levels in the two groups at the first day in hospital(1170.9±593.5 vs 1275.1±621.5 t=0.5365,P>0.05), and there were significant differences one week(1130.1±583.5 vs 1413.8±919.6 t=1.193,P<0.05) and one month(1348.6±215.4 vs 747.9±242.8 t=6.384,P<0.05)post PCI. There were no significant differences on the LVEF of the two groups at the first day in hospital(49.21±5.03 vs 48.95±2.98 t=0.1856,P>0.05), and there were significant differences one week(47.56±5.32 vs 42.49±2.31 t=3.581,P <0.05)and one month(53.27±4.25 vs 45.31±3.26 t=6.341,P<0.05)post PCI.Conclusion Emergency PCI could significantly improve the LVED,LVEF and serum NT-pro BNP level in patients with AMI.