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非Q波型心肌梗死:一种预后的矛盾现象。

Non-Q-wave myocardial infarction: a prognostic paradox.

作者信息

Boden W E

机构信息

Tufts University School of Medicine, Boston.

出版信息

Hosp Pract (Off Ed). 1992 Jul 15;27(7):129-33, 137-8, 140 passim. doi: 10.1080/21548331.1992.11705457.

DOI:10.1080/21548331.1992.11705457
PMID:1629258
Abstract

It is now clear that non-Q-wave MI, whose incidence appears to be rising, carries an increased risk of reinfarction and recurrent ischemia. Indeed, non-Q-wave late mortality may equal or exceed that of its Q-wave counterpart. The management question: Should the patient with non-Q-wave MI have myocardial revascularization or strictly medical therapy?

摘要

现在已经明确,非Q波心肌梗死的发病率似乎在上升,其再梗死和复发性心肌缺血的风险增加。实际上,非Q波心肌梗死的晚期死亡率可能等于或超过Q波心肌梗死。管理方面的问题是:非Q波心肌梗死患者应该接受心肌血运重建还是严格的药物治疗?

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