Lai 碁, Guang Xue Feng , Jing Shu Nan , Chen Zhi Peng , He Chen De , Lin Chun Rong , Lv Ning , Sun Yun Hua . Significance of Invasive Pressure Monitoring in Low Blood Pressure of Dominant Right Coronary Artery after STEMI PPCI[J]. Journal of Kunming Medical University, 2017, 38(04): 45-48.
Citation: Lai 碁, Guang Xue Feng , Jing Shu Nan , Chen Zhi Peng , He Chen De , Lin Chun Rong , Lv Ning , Sun Yun Hua . Significance of Invasive Pressure Monitoring in Low Blood Pressure of Dominant Right Coronary Artery after STEMI PPCI[J]. Journal of Kunming Medical University, 2017, 38(04): 45-48.

Significance of Invasive Pressure Monitoring in Low Blood Pressure of Dominant Right Coronary Artery after STEMI PPCI

Funds:

基金: 国家自然科学基金资助项目(81360037);

  • Received Date: 2016-12-10
  • Objective To discuss and summarize the significance of invasive pressure monitoring in low blood pressure of the dominant right coronary artery after STEMI PPCI, in correcting the course of treatment of low blood pressure. Methods According to whether adjusting therapeutic strategies, 82 cases of dominant right coronary patients with low blood pressure after PPCI were divided into two groups. The incidence of acute left heart failure and the time used to correct low blood pressure in patients during the treatment were compared between two groups.Results During treatment process of correcting low blood pressure, in 22 cases without adjusting treatment strategy according to pressure monitoring data,5 cases appeared acute left heart dysfunction,the incidence was 22.7%, the average time to correct low blood pressure was(53±7.2) h. In 60 cases with adjusting treatment strategy according to pressure monitoring data, no acute left heart dysfunction was found, and the average time to correct low blood pressure was(36 ±5.6) h, the difference between the two groups was statistically significant(P <0.05).Conclusion For patients with STEMI induced by acute occlusion of dominant right coronary artery, in treatment course of correcting low blood pressure after PPCI,adjusting the treatment strategy according to invasive pressuremonitoring data can significantly reduce the risks of acute left heart failure and correct low blood pressure faster.
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