急性心肌梗死后左室血栓高危人群的识别及预防

Identification and Prevention of High-risk Patients with Left Ventricular Thrombosis after Acute Myocardial Infarction

目前急性前壁心肌梗死、左室射血分数降低被认为是识别急性心肌梗死后左室血栓形成的高危患者的重要预测因素,其他指标鲜有系统性报道。本文概括介绍了急性心肌梗死后左室血栓的发病率、发病机制、识别因素、诊断和预防等。着重介绍了识别急性心肌梗死后左室血栓形成的高危患者的临床指标。希望给临床医师提供更精准识别急性心肌梗死后左室血栓形成高危人群的指标,对探究其预防性治疗提供一定的借鉴。

Acute anterior myocardial infarction and decreased left ventricular ejection fraction are currently considered to be important predictors of high-risk patients with left ventricular thrombosis after acute myocardial infarction and there is no systemic report for other predictors.This article outlined the incidence,pathogenesis,identification factors,diagnosis and the prevention of left ventricular thrombosis after acute myocardial infarction,especially emphasizing on how to identify high-risk patients with left ventricular thrombosis after acute myocardial infarction from clinical indicators.This paper was written in hopes of providing clinicians with more accurate indicators for identifying high-risk groups of left ventricular thrombosis after acute myocardial infarction.It also provided the references for exploring preventive treatment.