Effect Of Emergency PCI On Cardiac Function And Early Prognosis Of STEMI Patients

Objective: To discuss the effect of emergency PCI on cardiac function and early prognosis of STEMI patients who have received emergency PCI and selective PCI therapy.Methods To analyzed retrospectively(2016.3-2016.12)112 cases with the first acute STEMI in the Jincheng people’s hospital.Age(32-76),average age(45 ± 5.2),68 cases with hypertension,36 cases with diabetes mellitus.60 cases which received emergency PCI(Group A),Male 49 cases and female 11 cases.There were 36 cases of myocardial infarction in the anterior wall,anterior wall and extensive anterior wall,and 24 cases of myocardial infarction in the lower wall,posterior wall and posterior wall with right ventricular myocardial infarction in Group A.52 cases which received selective PCI(Group B),Male 40 cases and female 12 cases.There were 30 cases of myocardial infarction in the anterior wall,anterior wall and extensive anterior wall,and cases of myocardial infarction in the lower wall,posterior wall and posterior wall with right ventricular myocardial infarction in Group B,exclude the cases with history of myocardial infarction,CABG surgery,cerebral apoplexy,preoperative,severe liver and kidney impairment,etc.Compared the cases in Group A and B with general information such as age,gender,BMI,LDL,hs-CPR,FPG and coronary Gensini score,all cases were assayed the NT-pro BNP at 24 hours,first week,first month.At the same time,all cases were assayed LVEDD,LVEDVI,LVEF by the heart echocardiography.The differences between the two groups in the endwereanalyzed.After 3 months of follow up,observing the cases with angina pectoris,heart failure and postoperative recurrence and all-cause death after PCI therapy,and comparing the effect of early treatment between the two groups.Results: 1.General date have no statistically significant difference between the two groups(P>0.05).2.PPCI can significantly reduce postoperative NT-pro BNP level,after first week,there was a difference in the two groups,and there was a significant difference after(P<0.05).3.After first mouth,the left ventricular ejection fraction(LVEF)in group A was higher than group B,and the left ventricular diastolic internal diameter(LVED),left ventricular diastolic volume index(LVDEVI)was less than group B(P < 0.05).4.After 3 months of follow-up,there was no significant difference in cardiovascular events and mortality between the two groups(P>0.05).Conclusion For patients with STEMI,In the time window,early or late reperfusion therapy can reduce myocardial necrosis,reverse left ventricular remodeling,reduce heart function damage,reduce the incidence of pump failure and hospital mortality.In both,primary PCI therapy is better than delayed PCI therapy,both primary PCI therapy and delayed PCI therapy can improve the early prognosis of STEMI.