2024-03-28T20:20:10Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00023214
2022-12-15T03:53:30Z
453:456
471:537:538:1215
急性心筋梗塞に対する緊急 PTCA : 救命及び心筋サルベージ効果について
急性心筋梗塞に対する緊急 PTCA : 救命及び心筋サルベージ効果について
Efficacy of Percutaneous Transluminal Coronary Angioplasty in Patients with Acute Myocardial Infarction : Hospital mortality and myocardial salvage
大塚, 英明
加藤, 秀徳
高橋, 正
岡部, 正明
松岡, 東明
片桐, 幹夫
春谷, 重孝
坂下, 勲
acute myocardial infarction
emergency coronary angioplasty (PTCA)
Tl-201 myocardial scintigraphy (SPECT)
急性心筋梗塞
緊急経皮的冠動脈形成術
^<201->Tl心筋SPECT
In 123 patients aged 34 to 86 years with acute myocardial infarction, emergency coronary angioplasty was performed as reperfusion therapy. Coronary angioplasty was performed after intracoronary thrombolysis in 18 patients, and also as primary therapy in others. Overall, angioplasty was successful in 85 patients (69.1%). Repeated coronary angiography was performed in all of 78 patients who had successful angioplasty and survived hospitarization without requiring emergency bypass surgery; restenosis was found in 15 patients (19.2%), and angioplasty was repeated in 4 patients, and elective bypass surgery was performed in 3 patients. Hospital mortality (within 4 weeks after admission) was 11.4%, with 3 out of 14 deaths occurring in patients with cardiac free wall rupture. Hospital mortality was 7.1% for patients who had successful angioplasty as compared with 21.1% for patients with unsuccessful angioplasty (p<0.05). Tl-201 myocardial scintigraphy (SPECT) was performed in 84 (77.1%) of 109 patients who survived hospitarization; 39 (62.9%) of 62 patients who had successful angioplasty showed successful myocardial salvage as compared with 27.3% with unsuccessful angioplasty (p<0.01). Therefore, successful emergency coronary angioplasty for acute myocardial infarction appears to salvage ischemic myocardium and to result in a low hospital mortality.
新潟医学会
1988-12
jpn
departmental bulletin paper
http://hdl.handle.net/10191/41062
https://niigata-u.repo.nii.ac.jp/records/23214
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
102
12
764
769
https://niigata-u.repo.nii.ac.jp/record/23214/files/102(12)_764-769.pdf
application/pdf
2.7 MB
2019-08-19