心肺血管病杂志2024,Vol.43Issue(4) :325-330.DOI:10.3969/j.issn.1007-5062.2024.04.001

急性ST段抬高型心肌梗死心肺复苏后紧急溶栓序贯即刻冠状动脉介入治疗

Immediate angioplasty following the urgent fibrinolytic therapy after successful resuscitation in acute ST segment elevation myocardial infarction

祖晓天 段小春 米玉红 屈超 贺晓楠
心肺血管病杂志2024,Vol.43Issue(4) :325-330.DOI:10.3969/j.issn.1007-5062.2024.04.001

急性ST段抬高型心肌梗死心肺复苏后紧急溶栓序贯即刻冠状动脉介入治疗

Immediate angioplasty following the urgent fibrinolytic therapy after successful resuscitation in acute ST segment elevation myocardial infarction

祖晓天 1段小春 1米玉红 1屈超 1贺晓楠1
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作者信息

  • 1. 100029 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究 急诊危重症中心
  • 折叠

摘要

目的:ST 段抬高型心肌梗死(ST-Elevation myocardial infarction,STEMI)患者溶栓后即刻PCI治疗一直是该领域研究焦点并存在争议,研究旨在优化急性STEMI患者再灌注治疗策略.方法:因急性STEMI心脏骤停2例患者,经心肺复苏自主循环恢复后,行紧急溶栓治疗并序贯即刻PCI救治过程.结果:2例患者溶栓后梗死相关血管TIMI血流均达到Ⅱ级,即刻序贯PCI进一步取得稳定而确切再灌注疗效.结论:急性STEMI心肺复苏成功后紧急溶栓序贯即刻PCI治疗安全有效,并未增加出血风险.

Abstract

Objective:Early angiography with subsequent PCI if not contraindicated is the recommended standard of care after successful fibrinolysis,the crucial issue is the optimal time delay between successful lysis and PCI.Methods:Immediate angioplasty following fibrinolytic therapy after cardiopulmonary resuscitation in cardiac arrest caused by acute myocardial infarction were reported in two patients.Results:Following the urgent fibrinolytic therapy after cardiopulmonary resuscitation,coronary angiography revealed that the flow of the culprit artery met TIMI grade 2 in both patients and immediate angioplasty were completed successfully.Conclusions:Thrombolysis after successful resuscitation is effective and immediate angioplasty following fibrinolytic therapy did not increase the risk of additional bleeding.

关键词

急性ST段抬高型心肌梗死/即刻冠状动脉介入治疗/溶栓治疗/心肺复苏

Key words

Acute ST segment elevation myocardial infarction/Immediate angioplasty/Fibrinolytic therapy/Cardiopulmonary resuscitation

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出版年

2024
心肺血管病杂志
北京市心肺血管疾病研究所,首都医科大学附属北京安贞医院

心肺血管病杂志

CSTPCD
影响因子:1.214
ISSN:1007-5062
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