急性冠脉综合征危险分层方法的评价

Assessment of Risk Stratification Methods for Acute Coronary Syndrome

急性冠脉综合征是冠心病病程中的严重事件,往往导致大面积心肌梗死甚至猝死。不同的患者临床表现不尽相同,需要针对患者不同的风险采取相应的临床对策,这就需要对患者进行危险分层。来自于临床试验和专业学会指南的危险分层方法基本思路一致,但都不是呆板的教条,临床应用中需要了解不同危险分层方法的不同特点,根据实际情况灵活掌握,动态评估,选择合适的诊断和治疗方案。最终目的是合理配置有限的医疗资源,获得最佳的治疗效果。

Acute coronary syndrome is a severe event in the course of coronary heart disease, which often leads to massive myocardial infarction and even sudden death. Patients have different clinical manifestations, involving various levels of risk, requiring a diverse range of clinical strategies. The method of determining levels of risk is termed risk stratification; The basic concepts of different risk stratification methods are the same, regardless of whether they are derived from clinical trials or guidelines from professional societies. These methods are not rigidly fixed procedures. It is important to understand the characteristics of different methods, to enable these to be applied flexibly in real-life situations. A large range of factors must be considered in order to make correct diagnoses and choose correct treatments. The aim is to target limited medical resources more effectively to achieve the best results possible.