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运动康复是使心脏病人身心感觉更好的、非外科手术疗法的一种.其益处有增加肌肉力量、降低心率、增加每博量、提高极量和亚极量运动能力等。但心脏病人在隶复过程中,经常未进行足够强度的运动来获得最大的益处。故应在监控下,给病人提供正确的生活制度和足够强度的运动。所有的病人应保持终身运动, 相似文献
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卞维仕 《河北北方学院学报(医学版)》2005,22(5):48-49
目的:探讨急性下壁梗死时体表心电图指标对判断心肌梗死相关动脉的意义.方法:对62例急性下壁心肌梗死的三种体表心电图指标和冠状动脉造影结果进行对比分析.结果:(1)相关梗死动脉右冠状动脉(RCA)组45例,左回旋支(LCX)组17例.(2)右冠状动脉组中ST段抬高幅度Ⅲ°>Ⅱ°发生率明显多于左回旋支组,具有显著性差异(P<0.05).ST段抬高幅度Ⅲ°>Ⅱ°诊断右冠状动脉闭塞的敏感性为86.7%,特异性为76.4%.(3)右冠状动脉组中aVL导联ST段压低发生率明显多于左回旋支组,具有显著性差异(P<0.05).aVL导联ST段压低诊断右冠状动脉闭塞的敏感性为71.1%,特异性为82.4%.(4)左回旋支组中合并V7~V9导联ST段抬高发生率明显多于右冠状动脉组,差别具有显著性差异(P<0.05).合并V7~V9导联ST段抬高诊断左回旋支闭塞的敏感性为70.6%,特异性为88.9%.结论:ST段抬高幅度Ⅲ°>Ⅱ°、aVL导联ST段压低以及合并V7~V9导联ST段抬高对判断急性下壁心肌梗死相关血管有重要的预测价值. 相似文献
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Effect of a distal protection device on epicardial blood flow and myocardial perfusion in primary percutaneous coronary intervention 总被引:2,自引:0,他引:2
Objective: The beneficial effect of percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) has been well established, but there is the problem of no-reflow phenomenon which is an adverse prognostic factor in primary PCI. In the present study the effect of a distal protection device (PercuSurge GuardWire; GW) on epicardial blood flow and myocardial perfusion was evaluated. Methods and Results: Patients with AMI were randomly divided into 2 groups, the GW and the control groups. The GW group included 52 patients with AMI who underwent primary PCI with GW protection and the control group included 60 patients who underwent primary PCI without GW protection. Epicardial blood flow in the infarct-related artery (IRA) and myocardial perfusion were evaluated according to the thrombolysis in myocardial infarction (TIMI) flow grade and the myocardial blush grade (MBG). We found TIMI score of 3 was obtained significantly more frequently in the GW group (96%) than in the control group (80%). The MBG score of 3 was obtained also significantly greater in the GW group (65%) than in the control group (33%). Conclusion: Primary PCI with GW protection can significantly improve epicardial blood flow and myocardial perfusion. 相似文献
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1987年突发心肌梗死,经北大医院抢救脱离危险,但心悸、胸闷、心绞痛时有发生。1992年旧病复发住院抢救治疗,经冠状动脉造影,发现三支病变:左冠状动脉75%弥漫性不规则狭窄,前降支90%狭窄,回旋支完全堵塞。9年来住了8次医院,仅前降支就做了3次扩冠手术,药费、住院费、手术费花了近40万元。动态心电图监测,室性早搏每天几百次。虽经手术及药物治疗后症状有所好转,但时有复发,身体虚弱无力,有时甚至寸步难行。 相似文献
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目的 探讨不同剂量替罗非班治疗非ST段抬高型急性冠状动脉综合征(NSTE-ACS)的临床效果。方法 80例NSTE-ACS患者,随机分为全量组与半量组,每组40例,均实施常规给予抗凝抗栓及经皮冠状动脉介入治疗(PCI)术治疗,全量组患者应用量替罗非班剂量为10μg/kg,半量组则减半应用。观察两组疗效。结果 半量组心肌梗死溶栓治疗临床试验(TIMI)3级血流获得率、TIMI心肌灌注分级(TMPG)灌注2~3级获得率、主要不良心血管事件(MACE)发生率对比全量组,差异均无统计学意义(P>0.05);半量组轻度出血事件发生率低于全量组,差异有统计学意义(P<0.05)。结论 半剂量替罗非班应用于非ST段抬高型急性冠状动脉综合征的治疗可以明显改善冠状动脉血流和心肌灌注,近期预后良好,减少出血几率,具有较高安全性。 相似文献