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• W3029484295 abstract "ObjectiveTo study the relationship between ECG ischemic grading and target vessel stenosis degree in patients with acute myocardial infarction(AMI).MethodsA total of eighty patients with AMI treated in Beijing Friendship Hospital, Capital Medical University from January 2016 to June 2017 were enrolled in the study, with the onset time<12 h, According to the Birnbaum ECG grading, the patients were divided into the grade two ischemic group(50 cases) and grade three ischemic group(30 cases). CAG diameter visual method was used to compare the target vessels localization and stenosis degrees, the levels of CK-MB, cTnI and pro-BNP, left ventricular end diastolic diameter (LVEDd) and ejection fraction (LVEF) were detected, myocardial infarction area (MIS) was measured by 99mTe-MIBI myocardial perfusion imaging (SPECT) at 7 d after operation, the incidence of major cardiac adverse events (MACE) was followed up for 6 months. area of myocardial defect, that is myocardial infarction size(MIS)with SPECT 7d after operation, during the 6 months follow-up, the incidence of major adverse cardiac events (MACE).ResultsThe baseline lines of CK-MB, cTnI and pro-BNP and increased ranges (post intervention-baseline value) in the grade three ischemic group were higher than those of grade two ischemia group, there were statistically significant differences in baseline values: (CK-MB: (56.7±12.3) U/L vs.(26.8±8.7) U/L, t=12.326, P 1 and 100% stenosis in the grade three ischemic group were significantly than those in the in the grade two ischemic group (target lesion number>1: 36.7% (11/30) vs.14% (7/50), P=0.019; 100% stenosis: 40% (12/30) vs.12% (6/50), P=0.004), the difference is statistically significant.The MIS value increased significantly in the grade three ischemia group, and the incidence of MACE increased.The difference was statistically significant ( (16.7±3.5)% vs.(10.5±3.6)%, t=5.754, P=0.019, 23.3% vs.6%, χ2=5.150, P=0.023).ConclusionECG ischemic grading can evaluate the location of AMI target vessel and the degree of stenosis, and it has important clinical value.Key words: ECG ischemic grading; Acute myocardial infarction; Target vascular stenosis" @default.
• W3029484295 created "2020-06-05" @default.
• W3029484295 creator A5059001271 @default.
• W3029484295 date "2018-03-01" @default.
• W3029484295 modified "2023-09-22" @default.
• W3029484295 title "Clinical study of ECG ischemic grading and target vessel stenosis degree in patients with acute myocardial infarction" @default.
• W3029484295 doi "https://doi.org/10.3760/cma.j.issn.1008-6315.2018.02.009" @default.
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