Analysis Of Relative Factors Of Reperfusiori Arrhythmia During PCI In Patients With Acute Myocardial Infarction

Objective: For within12hours of the acceptance of emergency PCIin patients with AMI appeared intraoperative RA related factors wereanalyzed, and discussed the mechanism of RA, influence factors, lead tothe types and characteristics of the reperfusion arrhythmias and theprevention and control measures.Methods: Collect the materials of AMI who underwent PCI andopened the IRA in12hours of Cardiovascular Center in the first hospitalof Jilin university from January2012to March2013.130cases randomlyselected as the research object. RA occurred in66patients. To concludethe type of RA, analysis of the relative factors about it during PCI.Establish the database about RA during PCI in patients with AMI.Establish emergency PCI in RA patients information database. Data wereanalyzed using SPSS19.0.Results: Reperfusion arrythmia (RA) occurred in66out of130patients (50.77%). Analysis of the relative factors such as, sex, age,smoking, diabetes, hyperlipidemia, occlusion of LAD, occlusion of LCX,occlusion of RCA, and Attack-to-Balloon Time≤6hours. Comparereperfusion arrhythmia (RA) group with no RA group such as, sex, age,smoking, diabetes, hyperlipidemia, there is no statistical significance(p>0.05). RCA lesion group the incidence of RA has statisticalsignificance (p<0.05). There is no statistical significance in rapidRA(p>0.05). But in slow RA group and malignant ventricular RA group the RCA lesion has its statistical significance(p<0.05). RA was tent tooccur in Attack-to-Balloon time≤6hours more then Attack-to-BalloonTime6~12hours(p<0.05).Conclusion:1.Emergency PCI is prone to reperfusion arrhythmia2.RA was tent to occur in RCA lesion group, such as slow RA andmalignant RA. But there is no obvious difference in rapid RA.3.There was significantly higher in patients, who Attack-to-BalloonTime≤6hours then thatAttack-to-Balloon Time6~12hours.4.RA general short-term prognosis is favorable.