急性心肌梗死伴多支冠状动脉病变患者的治疗研究进展

Treatment Strategy for Acute Myocardial Infarction(AMI) Patients with Multi-Vessel Coronary Artery Disease

急性心肌梗死合并多支血管病变者近期和远期预后较差,此类患者处理难度大,目前通常有血运重建和非血运重建两种治疗策略。冠状动脉病变的解剖学特征、年龄、性别、合并疾病(高血压、糖尿病、消化道出血、脑卒中、肿瘤、具有外科手术适应证的其他系统疾病等)以及机体功能状况(凝血功能、心功能、肝功能、肾功能等)是决定进一步治疗策略的因素。结合患者的具体情况,遵循指南制定出个体化的治疗策略是目前最佳选择。

Recent and long-term prognosis of acute myocardial infarction patients with multi-vessel coronary artery disease is bad,and treatment of this kind of patients is relatively difficult.Complete revascularization and incomplete revascularization are the two commonly-used treatment strategies.Factors like anatomic features of the coronary artery pathological changes,age,gender,high blood pressure,diabetes,gastrointestinal bleeding,stroke,cancer,liver and kidney function will decide further treatment strategy of these patients.The best choice is to formulate therapeutic strategy according to the specific conditions of the patient as well as the guidelines.