摘要
对合并多支血管病变的急性ST段抬高型心肌梗死患者的介入术治疗,现行指南推荐介入术时仅干预梗死相关血管,同时处理非梗死相关血管可能使临床预后恶化。然而国内外最近的一些研究对此产生了质疑,其结果显示,处理非梗死相关血管可降低合并多支血管病变的急性ST段抬高型心肌梗死患者的主要心脏不良事件风险并改善预后。
In-patients with ST-elevation myocardial infarction and multi-vessel disease,guidelines recommend infarct-related artery only intervention during primary percutaneous coronary intervention. But many studies show that non-infarct-related artery revascularization during primary percutaneous coronary intervention for ST-segment elevation myocardial infarction has lower major adverse cardiovascular events and greater clinical prognosis.
出处
《心血管病学进展》
CAS
2016年第3期295-299,共5页
Advances in Cardiovascular Diseases
关键词
急性心肌梗死
经皮冠状动脉介入术
完全血运重建
治疗策略
Acute myocardial infarction
Percutaneous coronary intervention
Complete revascularization
Herapeutic strategics