To Establish a Multimodal Dynamic Risk Assessment System of Heart Failure in Patients With Myocardial Infarction Based on Coronary Microcirculation.
This study aims to explore the heart failure risk model based on the dynamic data of patients with different outcome nodes after myocardial infarction to correct the heart failure risk of patients timely.
• Age 18-75 years old (including threshold), gender unlimited
• acute ST-segment elevation myocardial infarction was diagnosed, and the following two criteria were met: A) ischemic chest pain lasting ≥30 min;B) ECG indicating ST-segment elevation ≥0.1 mV in two or more limb leads and/or ≥0.2 mV in two or more adjacent chest leads
• Coronary angiography confirmed that the culprit's vessel was located in the anterior descending branch, and the proximal and middle segments of the anterior descending branch were occluded (TIMI blood flow 0 or 1), Or TIMI blood flow grade 2 with obvious thrombus (TIMI thrombus score ≥ 2 points, which is determined after the guide wire passes and restores the forward blood flow. The TIMI thrombus score is determined as follows: 0 point: no thrombus is determined;1 point: blurred thrombus image is visible;2 point: clear thrombus image, but the length of the thrombus image is less than 1/2 vessel diameter;3 point: clear thrombus image, the length of the thrombus image is 1/2\
⁃ 2 times the vessel diameter;4 point: clear thrombus image, the thrombus image is more than 2 times the vessel diameter;5 points : complete occlusion of blood vessels)
⁃ 4:Emergency PCI revascularization was completed within 12 hours after the occurrence of myocardial infarction. Postoperative angiography confirmed that residual stenosis was less than 50%.
⁃ 5: Sign the informed consent form voluntarily