Analysis of the effect of different time windows of emergency percutaneous coronary intervention on patients with acute anterior myocardial infarction
Objective To explore the effect of different time windows of emergency percutaneous coronary intervention on patients with acute anterior myocardial infarction.Methods 60 patients with acute anterior myocardial infarction who received emergency percutaneous coronary intervention were divided into a control group and an experimental group by random numerical table,with 30 cases in each group.The control group received treatment 3 h after the onset of the disease,and the experimental group received treatment within 3 h of the onset of the disease.The cardiac function indicators before and after treatment,and quality of life score after treatment,number of episodes of postoperative adverse cardiovascular events,therapeutic effect and incidence of adverse cardiovascular events were compared between the two groups.Results After treatment,the left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)of the experimental group were(51.15±4.73)mm and(40.21±5.16)mm,which were smaller than(57.21±4.79)and(43.85±5.72)mm of the control group;the left ventricular ejection fraction(LVEF)of(42.52±5.18)%of the experimental group was higher than(36.15±5.82)%of the control group(P<0.05).After treatment,the scores of physical function,psychological function,physiological function and social function were(72.49±5.46),(73.42±6.03),(71.52±5.56)and(78.42±6.71)points in the experimental group,which were significantly higher than(61.48±4.48),(62.53±5.41),(60.03±5.03)and(66.47±6.28)points in the control group(P<0.05).The number of episodes of arrhythmia,heart failure,angina pectoris,and cardiogenic shock were(1.61±0.32),(0.47±0.02),(1.36±0.45),and(0.89±0.24)times/month in the experimental group,which were fewer than(3.03±0.39),(1.96±0.09),(3.63±0.83),and(2.39±0.65)times/month in the control group(P<0.05).The total effective rate of clinical treatment was 96.67%in the experimental group,which was significantly higher than 73.33%in the control group(P<0.05).The incidence rate of adverse cardiovascular events was 6.67%in the experimental group,which was lower than 26.67%in the control group(P<0.05).Conclusion For patients with acute anterior myocardial infarction,emergency percutaneous coronary intervention within 3 h of the onset of the disease can obtain a good effect compared with treatment 3 h after the onset of the disease.
Acute anterior myocardial infarctionEmergency percutaneous coronary interventionDifferent time windowsEfficacy
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