AMI
Conditions
Interventions
Case series:Nil
Sponsors
Tianjin Chest Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: AMI is diagnosed according to at least two of the following three criteria: ischemic chest pain or chest tightness lasting for more than 30 min; Sublinguinal administration of nitroglycerin showed no remission, and ST segment elevation of two consecutive leads (I,II,III, aVL, aVF leads =1.0mm or chest leads V1~V6= 2.0mm), and myocardial enzyme level increased by more than 2 times. The diagnostic criteria for LVFWR were progressive exacerbation of heart failure or sudden electromechanical separation, slow ventricular rate, acute jugular venous dilation, and cyanosis of the head and neck.Patients without electro-mechanical separation had acute non-arrhythmic hypotension (systolic blood pressure =80mm Hg). Ultrasound showed a rapid increase in newly developed pericardial effusion or pericardial effusion in the original pericardial effusion with or without cardiac tamponade, and doppler examination confirmed the presence of ventricular wall insufficiency with flow signals passing through the free wall. Subacute LVFWR depends on pericardial effusion with or without pseudoaneurysm and mild or severe cardiac tamponade. Doppler examination confirmed the presence of incomplete ventricular free wall structure and transmural blood flow signals. According to ultrasonic changes, it can be divided into two types: outflow type and oozing type.
Exclusion criteria
Exclusion criteria: No
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30-day survival;pseudoaneurysm;LVEF;Thickness of pericardial effusion;Crevasse diameter;Pericardial effusion drainage rate;Invasive ventilation lasts for days;IABP lasts for days; | — |
Secondary
| Measure | Time frame |
|---|---|
| C-reactive protein;NT-proBNP;CK-MB;TNI;Cr; | — |
Countries
China
Contacts
Public ContactMingdong Gao
Tianjin Chest Hospital
Outcome results
None listed