Nghiên cứu giá trị sự hồi phục đoạn ST trong việc đánh giá hiệu quả điều trị tái tưới máu cơ tim và tiên lượng bệnh nhân nhồi máu cơ tim cấp

Objective: 1/ Assessing the effectiveness of treatment myocardial reperfusion based on ST segment resolution. 2/ Prognosis of patients with myocardial infarction based on ST segment resolution. Subject and methods: 90 patients in Khanh Hoa Hospital from 01/01/2009 to 30/12/2010 was diagnosed as ST-elevation acute MI. Method: Prospective study. Results: ST segment resolution or = 50 percent after 1 hour treatment is highest in the PCI group 63.8 percent, 56.7 percent in thrombolytic group and 23.1 percent in rescue PCI, P 0.05. MI after treatment with the HPST or = 50 percent, the predicted survival was 16 times higher than HPST 50 percent (OR or = 50 percent after treatment is highest in the PCI group. The ST-segment resolution is independent prognostic factor for acute myocardial infarction.