Research On The Slow Flow-no Reflow Phenomenon In Acute Myocardial Infarction With Emergency PCI

Objective：To provide the basis for prevention and treatment of the slow flow-no reflow phenomenon in acute myocardial infarction treated with emergency PCIthrough exploration of the contributory factors on such phenomenon.Methods：Take as study cases the99patients who received this therapeutictreatment in Jiangxi Provincial People’s Hospital from March to December in2013.According to whether there is slow flow-no reflow phenomenon,35patients sufferfrom this reaction while the other64are in normal flow condition. Thepatients’personal information and surgical results are recorded, including gender, age,smoking history, history of hypertension, history of diabetes, blood lipids, familyhistory, preoperative long-term medications, the disease-balloon time, vascularlesions count, the infarction related artery, recent lesion, preoperative angiographyTIMI flow grade, stents implanted. This research applies SPSS17.0software toanalyze the risk factors which may lead to the slow flow-no reflow phenomenon.Results：Univariate analysis shows that male, smoking, diabetes, infection-balloon time are significantly(P <0.05) correlated with the slow flow-no reflowphenomenon. Multivariate logistic regression analysis shows that the above elementsare risk factors on this phenomenon.Conclusions： Various factors contribute to the slow flow-no reflowphenomenon in emergency PCI treatment, which results in poor prognoses. Weshould emphasize early identification of high risk patients and come up with effectivemeasures for their better prognoses.