Optimal timing and prognosis of interventional therapy for patients with non - ST - elevation myocardial infarction
Bai Zhongle
Tao Hailong
Xing Junhui
Li Ling
Abstract：Objective To investigate optimal timing of interventional therapy for patients with non - ST -elevation myocardial infarction (NSTEMI).Methods 258 patients with NSTEMI treated from Apr.2012 to Apr.2014 were selected and received percutaneous coronary intervention (PCI). They were divided into early PCI group (within 24 hours of onset, 136 patients) and non-early PCI group (after 24 hours of onset, 122 patients). Clinical data were compared between two groups.Results There was no significant difference in baseline data between two groups (P>0.05). In patients with recurrent cardiac events, the proportion of stable blood glucose control in the early PCI group was lower and the proportion of blood pressure control was higher than that in non-early PCI group (P<0.05). The thrombolysis in myocardial infarction (TIMI) flow grade and Killip level in early PCI group were higher than those in non-early PCI group (P<0.05). At six months after PCI, the left ventricular end diastolic dimension (LVDd) in early PCI group was lower than that in non-early PCI group, and the left ventricular ejection fraction (LVEF) in early PCI group was higher than that in non-early PCI group (P<0.05).Conclusion As for NSTEMI patients, early PCI is beneficial to the recovery of left ventricular function, but the timing of surgery should be selected according to the patients' blood pressure and glycemic control.
Keywords：Non-ST-segment elevation myocardial infarctionInterventional therapyInterventional time
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 957-959 )