Dzielicka Ewa, Swanton Howard
The Heart Hospital, London W1G 8PH.
Br J Hosp Med (Lond). 2008 Jan;69(1):18-23. doi: 10.12968/hmed.2008.69.1.28036.
Primary percutaneous coronary intervention has proved to be a superior intervention strategy for acute myocardial infarction than pre-hospital thrombolysis. Both strategies are being used in the UK in parallel, and time to intervention is crucial with both strategies. The Myocardial Infarction National Audit Project registry is showing a gradual move towards percutaneous coronary intervention as the strategy of choice when available.
对于急性心肌梗死,直接经皮冠状动脉介入治疗已被证明是一种比院前溶栓更优的介入策略。在英国,这两种策略正在并行使用,而且对于这两种策略来说,干预时机都至关重要。心肌梗死国家审计项目登记处的数据显示,在可行的情况下,正逐渐转向将经皮冠状动脉介入治疗作为首选策略。