急性心肌梗死合并心源性休克相关预后模型研究进展

Progress in Prognostic Model Research for Acute Myocardial Infarction Complicated by Cardiogenic Shock

急性心肌梗死(Acute Myocardial Infarction, AMI)是由于冠状动脉粥样硬化、血栓形成、冠状动脉痉挛等原因导致的局部心肌细胞坏死和心脏收缩功能下降的疾病,是心血管疾病中的一种常见严重疾病。尽管近年来,随着早期血运重建的使用,AMI的治疗已经取得较大进展,但其死亡率仍较高不下,其中,AMI并发心源性休克(Cardiogenic Shock, CS)是导致患者死亡的一个主要原因。因此,早期对AMI合并CS患者进行准确的危险程度评估及风险分层显得尤为关键。目前,已有多种评分系统用于预测AMI合并CS患者的预后,本文旨在综述与AMI合并CS相关的预后模型,以期为临床决策提供更为科学的依据。

Acute Myocardial Infarction (AMI) is a disease characterized by localized necrosis of cardiac myocytes and a decrease in cardiac contractile function due to atherosclerosis of the coronary arteries, thrombosis formation, coronary artery spasm, and other causes. It represents a common and serious condition within the spectrum of cardiovascular diseases. Despite significant advancements in the treatment of AMI in recent years, especially with the advent of early revascularization, mortality rates remain high. A major contributor to patient mortality is the development of cardiogenic shock (CS) as a complication of AMI. Therefore, early and accurate risk assessment and stratification of patients with AMI complicated by CS is crucial. Currently, several scoring systems are available to predict the prognosis of patients with AMI complicated by CS. This article aims to review prognostic models related to AMI with concurrent CS, in order to provide a more scientific basis for clinical decision-making.