tei指數(shù)聯(lián)合eem215;sm對非st段抬高心肌梗死患者介入術前后心功能的評價

1、分類號：R541 密級：不保密UDC：610 610 學校代碼：11065碩士學位論文Tei Tei 指數(shù)聯(lián)合 指數(shù)聯(lián)合 E/Em E/Em×Sm Sm 對非 對非 ST ST 段抬高心肌梗死患者介入術 段抬高心肌梗死患者介入術前后心功能的評價 前后心功能的評價薛迎昌 薛迎昌指 導 教 師 劉松 教授學科專業(yè)名稱 心血管內(nèi)科論文答辯日期 2 0 1 6 - 1 1 - 2 7AbstractEvaluation of card

2、iac function before and after percutaneous cardiacintervention for patients with non-ST segment elevation cardiacinfarction by Tei index in combination with E/EM×SmObjectives: To measure Tei index, E/EM×Sm and

3、relative indices of patients withnon-ST segment elevation cardiac infarction (NSTEMI) by ultrasonic cardiogram,observe the evaluation of Tei index, E/EM×Sm and relative indices in cardiac functionbefore and after pe

4、rcutaneous cardiac intervention, analyze the advantages of Tei index,E/EM×Sm and relative indices over traditional indices, so as to provide more reliabletechnical indices for clinical prognosis.Methods: We selected

5、 62 patients for non-ST segment elevation cardiac infarction(NSTEMI) and received percutaneous cardiac intervention (PCI) in Department ofCardiology . We separately performed ultrasonic cardiogram 3 days before PCI, the

6、dayafter PCI, and 1month after PCI. 28 other patients who were in hospital, receivedcoronary angiogram and exclude coronary heart disease in the same period were selectedas the control group. Measure Tei index, E/EM×

7、;Sm and relative indices of ultrasoniccardiogram.Results: 1.Patients with NSTEMI had obviously abnormal Ventricular contractile anddilastolic function, compared to healthy people.2.Patients` cardiac function with NSTEMI

8、were significantly improved after PCI, and theimprovement in dilation function was earlier presented than that in systolic function.3.LVEF and E/A could not exactly evaluate the dilation function of patients withNSTEMI i

9、n short period after PCI.4. There was a strong correlation among Tei index, ICT and E/Em×Sm.Conclusions: There was a strong correlation among Tei index and E/Em×Sm.Comparedwith other traditional indices, Tei in

10、dex and E/Em×Sm could be more reasonable,accurate and sensitive indicators to valuate the changes in cardiac function of patientswith NSTEMI before and after PCI.Postgraduate Student：Ying-ChangXue（Cardiology）Directe