首页|ST段抬高型心肌梗死非罪犯病变血运重建的指导策略:现状与研究进展

ST段抬高型心肌梗死非罪犯病变血运重建的指导策略:现状与研究进展

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ST段抬高型心肌梗死(STEMI)合并多支血管病变(MVD)是冠心病的高危类型.早期开通梗死相关动脉,恢复心肌组织的血液灌注,可显著降低急性期死亡率.然而,非梗死相关动脉上存在的非罪犯病变仍存在风险,对患者远期预后具有很重要的影响.采用何种手段精准评估此类病变的临床意义和预后价值,并优化非罪犯病变的血运重建策略目前尚有争议.本文拟对STEMI合并MVD患者的非罪犯病变血运重建指导策略的研究现状及进展进行综述.
Strategy to Guide Revascularization of Non-culprit Lesions in Patients With STEMI:State of Art and Future Prospects
Acute ST-segment elevation myocardial infarction with multivessel disease is one of the high-risk types of coronary heart disease.Early opening of infarct-related artery and reperfusion of myocardium could significantly reduce the mortality in acute phase.However,the presence of non-culprit lesions in non-infarct-related arteries is still at risk and has an important impact on the long-term prognosis of patients.It remains controversial on how to precisely evaluate the clinical significance and revascularization value of non-culprit lesions.This article aims to review the research status and progress of guidance strategies of non-culprit lesion revascularization in patients with ST-segment elevation myocardial infarction and multivessel disease.

ST-segment elevation myocardial infarctionmultivessel diseasenon-culprit lesionsrevascularization strategy

耿荧阳、张茵、张楚捷、张晗、许晶晶、宋莹、崔成、朱佩、高立建、高展、陈珏、宋雷

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中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院 心内科,北京 100037

ST段抬高型心肌梗死 多支血管病变 非罪犯病变 血运重建策略

中国医科院阜外医院高水平医院临床科研业务费专项中国医科院阜外医院高水平医院临床科研业务费专项

2022-GSP-GG-202023-GSP-GG-3

2024

中国循环杂志
中国医学科学院

中国循环杂志

CSTPCD北大核心
影响因子:2.803
ISSN:1000-3614
年,卷(期):2024.39(3)
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