Analysis of related risk factors affecting no reflow after emergency PCI in young patients with STEMI
Objective:To explore the associated risk factors for young patients with acute ST elevation myocardial infarction(STEMI)after emergency percutaneous coronary intervention(PCI).Methods:158 young STEMI patients admitted to the emergency department of our Hospital from June 2015 to May 2020 were divided into normal blood flow group and no refold group,and the relevant data were compared.Results:The incidence of no reflow was 15.82% .Results from the univariate analysis were found that the main influencing factors were BMI,the number of coronary artery lesions,Killip grade,the time from onset to operation,history of diabetes,LVEF,lactate dehydrogenase,the diameter of pre expanded balloon and the times of balloon expansion.Multivariate logistic regression analysis showed that the diabetes history(OR=52.774,95% CI:5.027～553.978),the smaller the LVEF(OR=0.484,95% CI:0.341～0.688)and diameter of pre expanded balloond(OR=15.192,95% CI:2.933～78.692)suggesting no reflow after surgery(P<0.05).Conclusions:The diabetes history,LVEF and diameter of pre expanded balloond can be used as predictive factors of the occurrence of no-reflow in young STEMI patients.
国家科技期刊平台
NSTL
万方数据
