三维超声心动图预测STEMI再灌注患者预后的临床价值

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Abstract Objective: To explore the value of 3D-STI in assessing the prognosis of ischemia reperfusion patients in acute ST segment elevation myocardial infarction(STEMI). Methods: Seventy ischemia reperfusion patients with STEMI were enrolled from March 2013 to November 2014 and their clinical data were recorded. The 3D-STI markers of patients including AS, CS, LS and RS were collected at the end of 3-day and 1-month treatment. Then, follow-up was given to all the 70 patients 1 year after treatment. Patients with favorable prognosis were defined as group A while patients with unfavorable prognosis were defined as group B. The differences of the baseline data and AS, CS, LS and RS of two groups at the end of 3-day and 1-month treatment were analyzed. Meanwhile, survival curves and COX’s proportional hazard regression model analysis were applied to evaluate the ability of 3D-STI in assessing the prognosis of patients with STEMI. The sensitivity and specificity of the AS, CS, LS and RS in predicting prognosis of patients were calculated by ROC curves. Results: Compared with group A, the proBNP, TNT after treatment and LVEF, LVEDV, LVESV, LAD, AS, CS, LS and RS in group B were lower, and the differences were statistically significant(P<0.05). The prognosis of ischemia reperfusion patients was significantly affected by AS and RS at the end of 3-day and 1-month treatment and LS at the end of 3-day treatment. The ROC analysis showed that the AUC of AS at the end of 3-day treatment, AS at the end of 1-month treatment, LS at the end of 3-day treatment, RS at the end of 3-day treatment and RS at the end of 1-month treatment were 0.796, 0.799, 0.798, 0.743, and 0.790. The AUC of the 5 indexes were similar, and can predict the prognosis of ischemia reperfusion patients. Conclusion: 3D-STI markers may assess the prognosis of ischemia reperfusion patients, which is might be used as an indicator of predicting the prognosis of patients with STEMI.

Received: 25 April 2017

PACS:	Ｒ542.2
	Ｒ540.45

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	Articles by authors
	XU Rong
	YIN Xiao-hua
	WANG Jing
	FENG Lan
	ZHOU Jie
	WANG Ying-chun

Cite this article:

XU Rong,YIN Xiao-hua,WANG Jing, et al. Clinical value of 3D-STI in predicting the prognosis of ischemia reperfusion patients[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(1): 18-22.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2018/V29/I1/18

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