替罗非班联合PCI对急性冠状动脉综合征患者疗效PCI相关心肌梗死及预后的影响

doi:10.3969/j.issn.1006-6233.2025.06.31

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Abstract Objective: To explore the influence of intracoronary application of tirofiban on percutaneous coronary intervention (PCI)-related myocardial infarction (PMI) and clinical prognosis in treating acute coronary syndrome (ACS) after PCI. Methods: Totally 106 patients with ACS in the hospital from January 2020 to July 2024 were retrospectively selected and treated with PCI. According to whether tirofiban was injected into the coronary artery during surgery, the patients were divided into two groups, with 56 patients in the control group not injected with tirofiban, and 50 patients in the observation group given intracoronary injection of tirofiban. The thrombolysis in myocardial infarction (TIMI) blood flow grading status, myocardial injury markers [creatine kinase isoenzyme (CKMB), cardiac troponin I (cTnI)], postoperative ST segment recovery status, incidence of PMI, short-term cardiac function indicators [left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF)] and incidence of major adverse cardiovascular events (MACE) were compared and analyzed in both groups. Results: The rate of TIMI blood flow grade 3 in the observation group after surgery was 96.00%, which was higher than 75.00% in the control group (P<0.05). The changes of CKMB and cTnI before and after surgery in the observation group with (11.87±1.48) μg/ml and (2.34±0.25) μg/ml were higher than (10.36±1.33) μg/ml and (1.76±0.33) μg/ml in the control group (P<0.05). At 90 minutes after surgery, the ST segment resolution of (64.28±14.39)% in the observation group was higher compared with (40.31±11.32)% in the control group (P<0.05). The incidence of PMI was lower in the observation group compared to the control group (0 vs. 7.69%) (P<0.05). The changes of LVEDD and LVEF in the observation group with (10.21±1.37) mm and (12.59±2.66)% before surgery and at 180 days after surgery were higher than the control group at (4.50±0.86) mm and (8.11±2.12)% (P<0.05). There was no statistical significance in the incidence of MACE between the groups (P>0.05). Conclusion: Intracoronary injection of tirofiban during PCI can enhance the postoperative TIMI blood flow grading of ACS patients, relieve the myocardial injury, further improve the ST segment recovery status, reduce the incidence of PMI, and improve the short-term cardiac function.

Key words： Acute coronary syndrome Percutaneous coronary intervention Tirofiban PCI-related myocardial infarction

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	LIU Yuebin
	LIU Hong
	ZHOU Jinfeng

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LIU Yuebin,LIU Hong,ZHOU Jinfeng. Influence of Tirofiban Combined with PCI on Efficacy PCI-Related Myocardial Infarction and Prognosis in Patients with Acute Coronary Syndrome[J]. HeBei Med, 2025, 31(6): 1043-1048.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2025.06.31 OR http://www.hbyxzzs.cn/EN/Y2025/V31/I6/1043

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