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目的观察急诊冠脉介入治疗对急性前壁心肌梗死合并室速室颤的临床效果和安全性。方法通过回顾性分析13例急性前壁心肌梗死患者合并室速室颤后急诊PCI的救治过程,研究急诊PCI对急性前壁心肌梗死合并室性心律失常的治疗效果和安全性。结果 13例中11例患者在急诊PCI后室性心律失常终止,2例在PCI后1d内又有室速的发生,通过加强抗心律失常药物应用后室速消失,经随访1~12个月全部患者无再发恶性心血管事件发生。结论对于急性前壁心肌梗死合并室速室颤患者应尽早血流重建,开通罪犯血管,急诊PCI是终止室性心律失常安全、有效的治疗方法,可显著改善患者预后。
Objective To observe the clinical effect and safety of emergency percutaneous coronary intervention on ventricular tachycardia and ventricular fibrillation in patients with acute anterior myocardial infarction. Methods A retrospective analysis of 13 patients with acute anterior myocardial infarction complicated by ventricular fibrillation after emergency PCI treatment of emergency PCI treatment of acute anterior myocardial infarction with ventricular arrhythmia treatment effect and safety. Results Eleven patients in 13 cases were terminated by ventricular arrhythmias after emergency PCI. Two cases had ventricular tachycardia at 1 day after PCI. The ventricular tachycardia disappeared after the antiarrhythmic drugs were applied and the follow-up was 1 to 12 months No recurrence of all patients with malignant cardiovascular events. Conclusion For patients with acute anterior myocardial infarction complicated by ventricular fibrillation, blood flow reconstruction should be performed as soon as possible, and criminals’ blood vessels should be opened. Emergency PCI is a safe and effective treatment for terminating ventricular arrhythmias, which can significantly improve the prognosis of patients.