Clinical value of ultrasound guided percutaneous thermal ablation in the treatment of thyroid nodules associated with intra cystic hemorrhage
Objective To investigate the effect of nicorandil on ventricular arrhythmia in patients with acute ST-segment elevation myocardial infarction (STEMI) treated with emergent percutaneous coronary intervention (PCI). Methods 120 cases of patients with acute ST segment elevation myocardial infarction underwent emergency percutaneous coronary interventional treatment from January 2016 to January 2017 were selected as the research objects, and divided into the observation group and the control group, 60 cases in each group. All patients were given routine treatment after admission, and the patient was treated by the percutaneous coronary interventional therapy. The observation group was treated with nicodiel at 30 min before the operation. The duration of ventricular arrhythmias occurred in the two groups, the preoperative and postoperative 24 h, 72 h QT interphase dispersion (QTd) and the QT interphase dispersion (QTcd) were compared. Results After operation, the incidence of ventricular premature beat and non-durable incidence of ventricular tachycardia in the observation group were significantly lower than the control group (P<0.05), sustained ventricular tachycardia and ventricular fibrillation incidence rate were lower than the control group, but there was no statistically significance between two groups. The QTd and QTcd of 24 h and 72 h after operation in the observation group were significantly lower than the control group, and the difference was statistically significant (P<0.05). Conclusion Nicorandil may play a cardioprotective effect in patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention, and reduce the incidence of postoperative ventricular arrhythmia.