肺部超声在老年急性前壁心肌梗死早期管理中的应用价值

doi:10.3969/j.issn.1003-9198.2022.03.009

Abstract

Abstract: Objective To investigate the value of lung ultrasound in the early management of elderly patients with acute anterior myocardial infarction undergoing revascularization. Methods A total of 349 elderly patients with acute anterior myocardial infarction who underwent emergency revascularization from January 2017 to December 2018 were retrospectively analyzed. They were divided into control group (178 cases) and observation group (171 cases). The control group received routine treatment according to the guidelines for acute ST segment elevation myocardial infarction, while the observation group received routine treatment and adjusted treatment under the guidance of lung ultrasound. Results The average hospital day in cardiac care unit (CCU) and the frequency of symptomatic heart failure attack in the observation group were significantly lower than those in the control group (P<0.05). The dosage of diuretics in the observation group was less than that in the control group (P<0.05); The creatinine level in the observation group was lower than that in the control group (P<0.05). Conclusions Lung ultrasound can optimize the early management of acute anterior myocardial infarction in the elderly, and reduce the attack of symptomatic heart failure. It should be widely used in CCU.

Key words: acute anterior myocardial infarction, heart failure, lung ultrasound, aged

CLC Number:

R 541.4

CAO Qiu-mei, LI Zhen-yong, ZHANG Yi-gang, XU Min. Application value of lung ultrasound in early management of elderly patients with acute anterior myocardial infarction[J]. Practical Geriatrics, 2022, 36(3): 249-252.

References

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Application value of lung ultrasound in early management of elderly patients with acute anterior myocardial infarction

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