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首页> 外文期刊>Ceylon Medical Journal >Outcome of patients with ST segment elevation myocardial infarction (STEMI) following percutaneous transluminal coronary angioplasty: a retrospective study
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Outcome of patients with ST segment elevation myocardial infarction (STEMI) following percutaneous transluminal coronary angioplasty: a retrospective study

机译：回顾性研究：经皮腔内冠状动脉成形术后ST段抬高型心肌梗死（STEMI）患者的结果

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Objectives To study the characteristics and long term outcome of patients who had segment elevation myocardial infarction (STEMI) and treated with PTCA in a fee levying hospital in Sri Lanka. Methods A retrospective study was conducted among patients diagnosed with STEMI and treated with PTCA in a fee levying private hospital in Colombo from 1st January 2009 to 1st November 2012. Details of patients were obtained from medical records and the survival status, cause of death and date of death where relevant, were obtained from records, patients or close relatives. Results 197 patients (153 men; 77.7%) were included. More than 50% had a history of diabetes, dyslipidaemia or hypertension. The three year survival was 82.7% (95% CI: 77.9%-90.5%). Based on the Cox’s Proportional Hazards model, site of arterial occlusion (proximal vs distal segment of left anterior descending artery [LAD] was significantly associated with mortality due to all causes [HR 10.98; 95% CI: 1.09-110.20]. Low ejection fraction, not on regular medication and delay of more than 3 hours between onset to door time were associated with death due to cardiovascular causes in patients whose right coronary artery or left circumflex artery was the culprit artery. Conclusions The three year survival of patients with STEMI and who had PTCA was 83%. Patients with proximal LAD occlusion were 11 times more likely to die within 3 years of PTCA as compared to those who had a distal LAD occlusion. DOI: http://dx.doi.org/10.4038/cmj.v59i4.7862 Ceylon Medical Journal 2014; 59: 118-123
机译：目的研究在斯里兰卡的一家收费医院中患有节段性心肌梗死（STEMI）并接受PTCA治疗的患者的特征和长期预后。方法回顾性分析2009年1月1日至2012年11月1日在科伦坡一家收费医院中对患有STEMI并经PTCA治疗的患者的病历。相关死亡是从记录，患者或近亲获得的。结果纳入197例患者（153名男性;占77.7％）。超过50％的人有糖尿病，血脂异常或高血压病史。三年生存率为82.7％（95％CI：77.9％-90.5％）。基于Cox的比例危害模型，动脉闭塞的部位（左前降支的近端与远端段[LAD]）与所有原因引起的死亡率显着相关[HR 10.98; 95％CI：1.09-110.20]。结论：STEMI患者的三年生存期是非心血管疾病的一部分，原因是心血管疾病引起的死亡与非门诊定期服药，未定期服药以及延迟开门时间间隔超过3小时有关。并且患有PTCA的患者为83％。与患有远端LAD闭塞的患者相比，近端LAD闭塞的患者在PTCA的3年内死亡的可能性高11倍。DOI：http://dx.doi.org/10.4038 /cmj.v59i4.7862锡兰医学杂志2014; 59：118-123

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