Application Effect of Revascularization in Emergency Treatment of Patients with Acute Myocardial Infarction
Objective:To investigate the application effect of revascularization in the emergency treatment of patients with acute myocardial infarction(AMI).Method:A total of 109 AMI patients admitted to Xiamen Fifth Hospital from July 2021 to September 2022 were selected as the study objects,and they were divided into study group(55 cases)and control group(54 cases)according to different treatment plans.The control group was treated with medical drugs only,and the study group was treated with medical drugs and revascularization in the corresponding treatment time window.Cardiac function indexes,myocardial microcirculation indexes,cardiac collagen remodeling indexes before treatment and treatment for 3 months and adverse cardiovascular events during hospitalization were compared between the two groups.Result:Treatment for 3 months,the left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),left ventricular posterior wall diastolic(LVPWD)and interventricular septal thickness(IVST)of both groups were significantly decreased compared with before treatment,and left ventricular ejection fraction(LVEF)were significantly increased compared with before treatment,the LVEDD,LVESD,LVPWD and IVST of the study group were lower than those of the control group,and LVEF of the study group was higher than that of the control group,the differences were statistically significant(P<0.05).Treatment for 3 months,myocardial microcirculation indexes in both groups were significantly higher than before treatment,and the indexes in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Treatment for 3 months,the cardiac collagen remodeling indexes in both groups were significantly higher than before treatment,and the indexes in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse cardiovascular events in the study group was 3.64%,significantly lower than 16.67%in the control group,the difference was statistically significant(P<0.05).Conclusion:Revascularization therapy in patients with AMI can improve cardiac function,myocardial microcirculation,inhibit ventricular remodeling and reduce the risk of adverse cardiovascular events.
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