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心肌梗死后左心室血栓形成风险预测及其干预研究进展

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左心室血栓(LVT)形成通常与急性心肌梗死(AMI)和非缺血性心肌病的发生密切相关,多数研究显示积极控制原发心脏疾病和改善异常血液状态,可显著降低LVT形成的风险,并减少LVT相关并发症发生。随着监测方法及临床干预方式的不断进展,AMI后LVT的治疗方法变得更加多样。随着越来越多的相关研究不断深入,AMI后LVT的预防和治疗得到了进一步的优化,从而减少了并发症的发生,改善了患者预后。现结合最新相关研究报道,就AMI后LVT的流行病学、致病机制、诊断进展和干预方式等进行文献综述。
Research Progress on Risk Prediction and Intervention of Left Ventricular Thrombus After Myocardial Infarction
The formation of left ventricular thrombus(LVT)is frequently linked to acute myocardial infarction(AMI)and non-ischemic cardiomyopathy.The majority of studies have demonstrated that active management of primary heart disease and amelioration of abnormal blood status can notably decrease the likelihood of LVT development and minimize the incidence of LVT-related complications.Owing to the advancements in current monitoring techniques and clinical intervention strategies,the treatment of LVT following AMI has evolved into a more comprehensive array of options.A growing body of relevant research continues to delve deeper into the subject,leading to further optimization of the prevention and management of LVT after AMI,thereby reducing the risk of complications and enhancing patient outcomes.This article reviews the epidemiology,pathogenic mechanism,diagnosis progress and intervention methods of LVT after AMI.

Myocardial infarctionLeft ventricular thrombusVitamin K antagonistDirect oral anticoagulant

雷洁淋、吴金春、魏晓娟

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青海大学研究生院,青海西宁 810016

青海省人民医院心血管内科,青海西宁 810007

心肌梗死 左心室血栓 维生素K拮抗剂 直接口服抗凝药物

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(12)