急性ST段抬高型心肌梗死合并多支血管病变行完全血运重建的最新进展

发布时间：2018-05-30 23:12

本文选题：多支血管病变 + ST段抬高　；参考：《中国循环杂志》2017年07期

【摘要】：正急性ST段抬高型心肌梗死(STEMI)患者中约40%~50%合并多支血管病变,较单支血管病变患者死亡率和再次非致死性心肌梗死(MI)发生率更高,这可能与非梗死相关血管斑块不稳定、心肌灌注及心室收缩功能受损或心律失常有关~([1])。对于血液动力学稳定合并多支血管病变的STEMI患者,血运重建策略包括:仅对梗死相关动脉进行血运重建(Culprit-Only Revascularization,COR);择期处理非梗死相关血管(Staged
[Abstract]:About 40% of patients with acute ST-segment elevation myocardial infarction (STEMI) were associated with multiple vessel lesions, which was higher than the mortality rate of patients with single vessel disease and the incidence of recurrent non-fatal myocardial infarction (MII), which may be associated with non-infarct associated vascular plaque instability. Myocardial perfusion and ventricular systolic dysfunction or arrhythmia related to ([1]). For STEMI patients with stable hemodynamics and multivessel disease, the strategies of revascularization include: culprit-only revascularization Corus and selective management of non-infarct related vessels.
【作者单位】：中国医学科学院北京协和医学院国家心血管病中心阜外医院冠心病诊治中心;
【分类号】：R542.22

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