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BMJ Open. 2022 Mar 9;12(3):e053379. doi: 10.1136/bmjopen-2021-053379.
3
Mechanical complications in ST-elevation myocardial infarction: The impact of pre-hospital delay.ST 段抬高型心肌梗死的机械并发症：院前延误的影响。
Int J Cardiol. 2021 Dec 15;345:14-19. doi: 10.1016/j.ijcard.2021.10.020. Epub 2021 Oct 23.
4
Temporal Trends and Outcomes of Mechanical Complications in Patients With Acute Myocardial Infarction.急性心肌梗死患者机械并发症的时间趋势和结局。
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5
Mechanical complications in patients with ST-segment elevation myocardial infarction: A single centre experience.ST 段抬高型心肌梗死患者的机械并发症：单中心经验。
PLoS One. 2019 Feb 22;14(2):e0209502. doi: 10.1371/journal.pone.0209502. eCollection 2019.
6
Temporal Trends in Mechanical Complications of Acute Myocardial Infarction in the Elderly.老年人急性心肌梗死机械并发症的时间趋势。
J Am Coll Cardiol. 2018 Aug 28;72(9):959-966. doi: 10.1016/j.jacc.2018.06.031.
7
Effect of thrombolytic therapy on the patterns of post myocardial infarction ventricular septal rupture.溶栓治疗对心肌梗死后室间隔破裂模式的影响。
Indian Heart J. 2017 Sep-Oct;69(5):628-633. doi: 10.1016/j.ihj.2017.03.007. Epub 2017 Apr 1.
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Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database.心肌梗死后室间隔缺损的外科修复：来自胸外科医生学会国家数据库的结果。
Ann Thorac Surg. 2012 Aug;94(2):436-43; discussion 443-4. doi: 10.1016/j.athoracsur.2012.04.020. Epub 2012 May 23.
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Eur Heart J. 2010 Jun;31(12):1449-56. doi: 10.1093/eurheartj/ehq061. Epub 2010 Mar 15.
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Mechanical complications after percutaneous coronary intervention in ST-elevation myocardial infarction (from APEX-AMI).ST 段抬高型心肌梗死患者经皮冠状动脉介入治疗后的机械并发症（来自 APEX-AMI 研究）。
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急性ST段抬高型心肌梗死患者机械并发症的研究

Study of mechanical complications in patients with acute ST-segment elevated myocardial infarction.

作者信息

Mathur Rohit, Lakhawat Vivek, Kesarwani Viplov, Sarda Pawan, Baroopal Anil

机构信息

Department of Cardiology, Dr SN Medical College, Jodhpur, Rajasthan, India.

Department of Cardiology, Dr SN Medical College, Jodhpur, Rajasthan, India.

出版信息

Indian Heart J. 2024 Jan-Feb;76(1):60-62. doi: 10.1016/j.ihj.2024.01.015. Epub 2024 Jan 30.

DOI:10.1016/j.ihj.2024.01.015
PMID:38301960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10943558/
Abstract

This prospective observational study aimed to determine the proportion of mechanical complications in patients with acute STEMI and assess the associated outcomes. The study was conducted between June'21 and May'22, including 1307 patients. Mechanical complications were evaluated using 2D-Echo. Among the STEMI patients, 17 individuals (1.3 %) experienced mechanical complications. The most prevalent complication was FWR (n = 9), followed by VSR(n = 7) and PMR (n = 1). However, despite their low incidence, mechanical complications carry a significant mortality burden. Mortality rates were higher in older age and female patients.

摘要

这项前瞻性观察性研究旨在确定急性ST段抬高型心肌梗死（STEMI）患者机械并发症的比例，并评估相关结局。该研究于2021年6月至2022年5月进行，纳入了1307例患者。使用二维超声心动图评估机械并发症。在STEMI患者中，17例（1.3%）出现机械并发症。最常见的并发症是乳头肌功能不全（FWR，n = 9），其次是室间隔穿孔（VSR，n = 7）和乳头肌断裂（PMR，n = 1）。然而，尽管机械并发症的发生率较低，但却带来了显著的死亡负担。老年患者和女性患者的死亡率更高。