摘要
背景:近期的数据显示,对于稳定的溶栓后ST段抬高型心肌梗死(STEMI)患者,予经皮冠状动脉介入治疗(PCI)优于不予PCI治疗或因缺血行补救性PCI。对这些结果仍需寻求病理生理学方面的解释。
Background: Recent data show that percutaneous coronary intervention(PCI) in patients with stable postthrombolytic ST-segment elevation myocardial infarction(STEMI) is better than no PCI or ischemia-guided PCI. These results still have to find a pathophysiologic explanation. We hypothesized that complete mechanical recanalization of infarct-related artery improves clinical benefits of thrombolysis as a result of more preserved and better perfused coronary microcirculation. To test this hypothesis,we studied...