2010版欧洲心肌再血管化指南解读

Interpretation of European Guidelines on Myocardial Revascularization published in 2010

2010年9月欧洲心脏病协会(ESC)和欧洲心胸外科协会(EACTS)领导下的联合项目组、指南委员会及其评审专家共同起草的一份经多方权衡、以患者为中心、以证据为导向的关于心肌再血管化治疗的操作指南。指南涉及冠心病患者的评估、治疗决策、二级预防等,第一次将冠状动脉旁路移植和经皮介入治疗在同一指导性文件中加以讨论。为利于临床医师阅读,撰写本指南解读。

The latest guideline on myocardial revascularization were published in september 2010. Members of this Task Force were selected by the European Society of Cardiology （ESC） and the European Association for Cardio--Thoracic Surgery （EACTS） to represent all physicians involved with the medical and surgical care of patients with coronary artery dis- ease （CAD）. Recognizing the importance of the interaction between （interventional） cardiologists and cardiac surgeons, the leadership of both the ESC and EACTS has given this Joint Task Force, their respective Guideline Committee, and the reviewers of this document the mission to draft balanced, patient--centred, evidence--driven practice guidelines on myo cardial revascularization. Scores and risk stratification, strategies for different conditions of caronary artery disease, see ondary prevention and follow up are discussed in this guideline. We summary the guideline for the benefit of cardiac surgeon and physician.