Does Coronary Stenting Affect Microvascular Circulation in Patients With Anterior Acute Myocardial Infarction? : Comparison With Balloon Angioplasty
スポンサーリンク
概要
- 論文の詳細を見る
The impact of coronary stenting on microvascular circulation in the infarct area was compared with that of balloon angioplasty in 94 patients with acute myocardial infarction (AMI) who underwent coronary revascularization within 6 h of onset : 49 patients were treated with balloon angioplasty alone, and 45 were treated with coronary stenting. Microvascular circulation after revascularization was assessed by Thrombolysis in Myocardial Infarction (TIMI) flow grade analysis and ST segment analysis. TIMI flow grade was assessed on the final angiographic image after coronary intervention, and the ST segment was assessed on the 12-lead electrocardiogram recordings just before revascularization and on return to the coronary care unit. The distributions of TIMI flow grade and change in ΣST (5.1±10.8 vs 5.1±9.9 mm) were similar between the 2 groups. Predischarge left ventricular ejection fraction (54±14 vs 54±15%) and in-hospital outcome were also similar between the 2 groups. The data suggest that coronary stenting did not influence microvascular circulation (improvement or detriment) in patients with reperfused AMI.
- 社団法人日本循環器学会の論文
- 2002-09-20
著者
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Nakamura Syuji
Department Of Cardiovascular Medicine Hiroshima University Graduate School Of Biochemical Sciences
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Yoshimura Mitsuisa
Department Of Cardiovascular Physiology And Medicine Hiroshima University Graduate School Of Biomedi
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Inoue Ichiro
Department Of Cardiology Hiroshima City Hospital
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Shimatani Yuji
Department Of Cardiology Hiroshima City Hospital
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Kurisu Satoshi
Division Of Cardiology Hiroshima City Hospital
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Inoue Ichiro
Division of Cardiology, Hiroshima City Hospital
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Kawagoe Takuji
Division of Cardiology, Hiroshima City Hospital
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Ishihara Masaharu
Division of Cardiology, Hiroshima City Hospital
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Shimatani Yuji
Division of Cardiology, Hiroshima City Hospital
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Nishioka Kenji
Division of Cardiology, Hiroshima City Hospital
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Nakamura Suji
Division of Cardiology, Hiroshima City Hospital
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Yoshida Masashi
Division of Cardiology, Hiroshima City Hospital
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Umemura Takashi
Division Of Pathology National Institute Of Health Science
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Yoshizumi Masao
Cardiovascular Center Tsuchiya General Hospital
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