American Journal of Life Sciences

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Clinical Treatment Efficacy of Percutaneous Coronary Intervention Therapy on Acute Myocardial Infarction Complicated with Multiple Organ Dysfunction Syndrome

Received: 23 September 2019    Accepted:     Published: 08 November 2019
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Abstract

Objective: This study aims to evaluate the clinical efficacy of the percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) complicated by multiple organ dysfunction syndrome (MODS). Methods: 216 patients with AMI complicated by MODS hospitalized in the Department of Cardiology of our hospital from January 2011 to March 2013 were divided into a PCI group (n=98) and a drug treatment group (n=118). The basic clinical data, the incidence rate of each dysfunction organ, the number of dysfunction organs and the mortality were compared between the two groups. Results: The rate of patients with ST-segment elevation AMI in the PCI group was higher than in the drug treatment group, and the rate of patients with non-ST-segment elevation AMI was lower than in the drug treatment group (P<0.05). The use of temporary pacemakers and IABP was similar between the two groups (P>0.05). The recanalization rate in PCI group was much higher than that in the drug treatment group (P<0.05). The two groups had similar rates in the incidence of organ dysfunction in the heart, lungs, kidneys, stomach and intestine, etc. and the PCI group had lower organ dysfunction incidence rate in the liver, brain and hematological system than the drug treatment group (P<0.05). The dysfunction incidence rate of 2 organs was higher in PCI group than in drug treatment group (P<0.05), the dysfunction incidence rate of 3 organs was similar between the two groups, and the dysfunction incidence rate of 3 organs or more was significantly lower in PCI group than in drug treatment group (P<0.05). Conclusion: Despite the high risk and high mortality in the patients with AMI complicated by MODS, satisfactory clinical efficacy can still be achieved as long as positive and effective PCI therapy is applied.

DOI 10.11648/j.ajls.20190706.13
Published in American Journal of Life Sciences (Volume 7, Issue 6, December 2019)
Page(s) 115-119
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Myocardial Infarction, Multiple Organ Failure, Percutaneous Coronary Intervention, Treatment Efficacy

References
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[3] Bernat I. Abdelaal E. et al. Early and late outcomes after primary percutaneous coronary intervention by radial or femoral approach in patients presenting in acute ST-elevation myocardial infarction and cardiogenic shock [J]. Am Heart J, 2018, 165 (3): 338-43.
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[5] Sciagra R. Cipollini F. et al. Detection of infarct size safety threshold for left ventricular ejection fraction impairment in acute myocardial infarction successfully treated with primary percutaneous coronary intervention [J]. Eur J Nucl Med Mol Imaging, 2018, 40 (4): 542-7.
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Author Information
  • Department of Emergency, Binzhou People's Hospital, Binzhou City, P. R. China

  • Department of Emergency, Binzhou People's Hospital, Binzhou City, P. R. China

  • Binzhou Center for Disease Control and Prevention, Binzhou City, P. R. China

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  • APA Style

    Nana Peng, Binbin Wang, Yucheng Ma. (2019). Clinical Treatment Efficacy of Percutaneous Coronary Intervention Therapy on Acute Myocardial Infarction Complicated with Multiple Organ Dysfunction Syndrome. American Journal of Life Sciences, 7(6), 115-119. https://doi.org/10.11648/j.ajls.20190706.13

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    ACS Style

    Nana Peng; Binbin Wang; Yucheng Ma. Clinical Treatment Efficacy of Percutaneous Coronary Intervention Therapy on Acute Myocardial Infarction Complicated with Multiple Organ Dysfunction Syndrome. Am. J. Life Sci. 2019, 7(6), 115-119. doi: 10.11648/j.ajls.20190706.13

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    AMA Style

    Nana Peng, Binbin Wang, Yucheng Ma. Clinical Treatment Efficacy of Percutaneous Coronary Intervention Therapy on Acute Myocardial Infarction Complicated with Multiple Organ Dysfunction Syndrome. Am J Life Sci. 2019;7(6):115-119. doi: 10.11648/j.ajls.20190706.13

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  • @article{10.11648/j.ajls.20190706.13,
      author = {Nana Peng and Binbin Wang and Yucheng Ma},
      title = {Clinical Treatment Efficacy of Percutaneous Coronary Intervention Therapy on Acute Myocardial Infarction Complicated with Multiple Organ Dysfunction Syndrome},
      journal = {American Journal of Life Sciences},
      volume = {7},
      number = {6},
      pages = {115-119},
      doi = {10.11648/j.ajls.20190706.13},
      url = {https://doi.org/10.11648/j.ajls.20190706.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajls.20190706.13},
      abstract = {Objective: This study aims to evaluate the clinical efficacy of the percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) complicated by multiple organ dysfunction syndrome (MODS). Methods: 216 patients with AMI complicated by MODS hospitalized in the Department of Cardiology of our hospital from January 2011 to March 2013 were divided into a PCI group (n=98) and a drug treatment group (n=118). The basic clinical data, the incidence rate of each dysfunction organ, the number of dysfunction organs and the mortality were compared between the two groups. Results: The rate of patients with ST-segment elevation AMI in the PCI group was higher than in the drug treatment group, and the rate of patients with non-ST-segment elevation AMI was lower than in the drug treatment group (P0.05). The recanalization rate in PCI group was much higher than that in the drug treatment group (P<0.05). The two groups had similar rates in the incidence of organ dysfunction in the heart, lungs, kidneys, stomach and intestine, etc. and the PCI group had lower organ dysfunction incidence rate in the liver, brain and hematological system than the drug treatment group (P<0.05). The dysfunction incidence rate of 2 organs was higher in PCI group than in drug treatment group (P<0.05), the dysfunction incidence rate of 3 organs was similar between the two groups, and the dysfunction incidence rate of 3 organs or more was significantly lower in PCI group than in drug treatment group (P<0.05). Conclusion: Despite the high risk and high mortality in the patients with AMI complicated by MODS, satisfactory clinical efficacy can still be achieved as long as positive and effective PCI therapy is applied.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Clinical Treatment Efficacy of Percutaneous Coronary Intervention Therapy on Acute Myocardial Infarction Complicated with Multiple Organ Dysfunction Syndrome
    AU  - Nana Peng
    AU  - Binbin Wang
    AU  - Yucheng Ma
    Y1  - 2019/11/08
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ajls.20190706.13
    DO  - 10.11648/j.ajls.20190706.13
    T2  - American Journal of Life Sciences
    JF  - American Journal of Life Sciences
    JO  - American Journal of Life Sciences
    SP  - 115
    EP  - 119
    PB  - Science Publishing Group
    SN  - 2328-5737
    UR  - https://doi.org/10.11648/j.ajls.20190706.13
    AB  - Objective: This study aims to evaluate the clinical efficacy of the percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) complicated by multiple organ dysfunction syndrome (MODS). Methods: 216 patients with AMI complicated by MODS hospitalized in the Department of Cardiology of our hospital from January 2011 to March 2013 were divided into a PCI group (n=98) and a drug treatment group (n=118). The basic clinical data, the incidence rate of each dysfunction organ, the number of dysfunction organs and the mortality were compared between the two groups. Results: The rate of patients with ST-segment elevation AMI in the PCI group was higher than in the drug treatment group, and the rate of patients with non-ST-segment elevation AMI was lower than in the drug treatment group (P0.05). The recanalization rate in PCI group was much higher than that in the drug treatment group (P<0.05). The two groups had similar rates in the incidence of organ dysfunction in the heart, lungs, kidneys, stomach and intestine, etc. and the PCI group had lower organ dysfunction incidence rate in the liver, brain and hematological system than the drug treatment group (P<0.05). The dysfunction incidence rate of 2 organs was higher in PCI group than in drug treatment group (P<0.05), the dysfunction incidence rate of 3 organs was similar between the two groups, and the dysfunction incidence rate of 3 organs or more was significantly lower in PCI group than in drug treatment group (P<0.05). Conclusion: Despite the high risk and high mortality in the patients with AMI complicated by MODS, satisfactory clinical efficacy can still be achieved as long as positive and effective PCI therapy is applied.
    VL  - 7
    IS  - 6
    ER  - 

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