Effects of Extracorporeal Membrane Oxygenation Combined with Emergency PCI in Resuscitating Acute Myocardial Infarction-Related Cardiac Arrest
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v5i3.2643
Abstract
Objective:To analyze resuscitation strategies for cardiac arrest following acute myocardial infarction, focusing on the treatment effects of extracorporeal membrane oxygenation (ECMO) combined with emergency percutaneous coronary intervention (PCI). Methods: From January 2023 to June 2024, 100 cases of cardiac arrest following acute myocardial infarction were included and randomly divided into two groups: the control group (50 cases) received conventional cardiopulmonary resuscitation (CPR) combined with emergency PCI, while the observation group (50 cases) received ECMO combined with emergency PCI. The resuscitation effects, return of spontaneous circulation (ROSC) rate, Glasgow Coma Scale (GCS) score, vital signs, and complication rates were compared between the two groups. Results: The observation group had a survival rate of 90.00% and ROSC rate of 94.00%, which were higher than the control group's 70.00% and 76.00% (P < 0.05). The GCS scores on postoperative days 1, 2, and 3 were higher in the observation group (P < 0.05). The heart rate on postoperative days 1, 2, and 3 was lower in the observation group (P < 0.05), while the mean arterial pressure was higher (P < 0.05). The complication rate was lower in the observation group (P < 0.05). Conclusion: The combination of ECMO and emergency PCI for cardiac arrest following acute myocardial infarction significantly improves survival rates and ROSC rates, enhances consciousness levels and vital signs, and reduces complications.
Keywords
cardiac arrest after acute myocardial infarction; extracorporeal membrane oxygenation; conventional cardiopulmonary resuscitation; emergency percutaneous coronary intervention
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[2]Liang Qianqian, Wang Baoyu, Liu Chang. Analysis of factors affecting clinical outcomes of patients with cardiac arrest after acute myocardial infarction rescued by extracorporeal membrane oxygenation combined with percutaneous coronary intervention [J]. China Medicine, 2021, 16(2): 183-187.
[3]Han Zongmao, Gao Jie, Gao Chuanyu, et al. Observations on the efficacy and influencing factors of early revascularization and extracorporeal membrane oxygenation support in the treatment of acute myocardial infarction complicated with cardiogenic shock [J]. Chinese Circulation Journal, 2021, 36(5): 433-438.
[4]Wang Dianlin. Factors influencing the emergency rescue effect of extracorporeal membrane oxygenation combined with emergency PCI in patients with cardiac arrest after acute myocardial infarction [J]. Henan Medical Research, 2021, 30(26): 4888-4891.
[5]Li Cuiying, Wu Jinhai, Sun Hang. Application value of emergency PCI combined with extracorporeal cardiopulmonary resuscitation in the rescue of patients with cardiac arrest after acute myocardial infarction [J]. Chinese Practical Medical Journal, 2021, 48(18): 12-15.
[6]Gu Liang, Si Xianfeng, Li Liuyang. Study on the application of extracorporeal cardiopulmonary resuscitation combined with emergency PCI in the rescue of patients with cardiac arrest after acute myocardial infarction [J]. Clinical Medicine, 2022, 42(9): 26-28.
[7]Zhang Huazhong, Zhang Zhongman, Mei Yong, et al. Major adverse renal events in the treatment of acute myocardial infarction with extracorporeal cardiopulmonary resuscitation and extracorporeal membrane oxygenation [J]. Chinese Journal of Emergency Medicine, 2024, 33(2): 222-227.
[8]Wei Youquan, Huang Junzhang. Clinical efficacy of emergency PCI combined with extracorporeal membrane oxygenation in the rescue of patients with cardiac arrest after acute myocardial infarction [J]. Reflexology and Rehabilitation Medicine, 2024, 5(5): 81-84.
Copyright © 2024 Xiaoning Wang, Jia'an Sun, Chang Liu
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