老年人无Q波型心肌梗死研究进展

The progress in investigation of non-Q-wave acute myocardial infarction in elderly Xue Wenhui (reviewer)

老年人无Q波心肌梗死在病理生理、临床表现,近期和远期预后方面,均与Q波心肌梗死有重要区别,其再梗死率,梗死 后心绞痛发生率及长期死亡率均甚高,治疗很复杂。近年来由于临床重视,检测技术的普及和完善,早期溶栓疗法的应用使非Q波 心肌梗死的诊断率有逐年增加的趋势。本文就老年人无Q波心肌梗死的病理生理,临床特点.预后和治疗作一综述。

There are important differences between non-Q-wave acute myocardial infarction (NQMI) and Q-wave myocardial infarction (QMI) in elderly in pathophysiology, clinical aspect, short-and long-term prognoses. The rates of myocardial reinfarc-tion, postinfarction angina and long-term mortality in NQMI in elderly are very high. And the treatment is also very sophisticated. In recent years, due to taking it seriously in clinic, popularity and perfection in test technigue and application of earlier thrombolyt-ic therapy, the NQMI diagnosis trends to increase gradually. The pathophysiology, clinical character, prognosis and treatment in NQMI in elderly are summarized in this article.