本文選題：多支血管病變 + ST段抬高��； 參考：《中國循環(huán)雜志》2017年07期

【摘要】：正急性ST段抬高型心肌梗死(STEMI)患者中約40%~50%合并多支血管病變,較單支血管病變患者死亡率和再次非致死性心肌梗死(MI)發(fā)生率更高,這可能與非梗死相關(guān)血管斑塊不穩(wěn)定、心肌灌注及心室收縮功能受損或心律失常有關(guān)~([1])。對于血液動力學(xué)穩(wěn)定合并多支血管病變的STEMI患者,血運(yùn)重建策略包括:僅對梗死相關(guān)動脈進(jìn)行血運(yùn)重建(Culprit-Only Revascularization,COR);擇期處理非梗死相關(guān)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.
【作者單位】： 中國醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院國家心血管病中心阜外醫(yī)院冠心病診治中心;
【分類號】：R542.22

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 周香;施尚鵬;曾力群;;早發(fā)冠心病與晚發(fā)冠心病的危險(xiǎn)因素及冠狀動脈病變特點(diǎn)比較[J];中國循環(huán)雜志;2017年07期

2 汪蕾;蔡o，

本文編號：1957233