Sebetić Drazen, Raguz Miroslav, Sakić Ivana, Lazić Jelenko, Puksić Silva, Bergovec Mijo
Cardiovascular Division, University Department of Medicine, Dubrava University Hospital, Zagreb, Croatia.
Acta Med Croatica. 2009 Feb;63(1):63-5.
Elective percutaneous coronary intervention (PCI) after acute coronary syndrome (ACS), according to guidelines issued by the European Society of Cardiology (ESC) and American Heart Association/American College of Cardiology (AHA/ACC), is a therapeutic method that is indicated in patients with ACS with ST segment elevation in case of persistent signs of myocardial ischemia and with significant stenosis of coronary artery verified by coronary angiography, suitable for PCI according to the guidelines. It is also indicated for non-culprit significant stenosis of other coronary arteries which have been seen during primary PCI for ST segment elevation myocardial infarction (STEMI). After non ST segment myocardial infarction (NSTEMI) or after non-ST elevation ACS, elective coronary artery angiography is indicated in low risk patients if they have positive signs of ischemia on noninvasive tests. Depending on the results of coronary angiography, elective PCI is indicated according to ESC or AHA/ACC guidelines. The method success is assessed at three levels, i.e. by angiography, clinically and periprocedurally. PCI enables earlier and more efficient resolution of symptoms, better effort tolerance and lower rate of residual ischemia on noninvasive tests.
根据欧洲心脏病学会（ESC）以及美国心脏协会/美国心脏病学会（AHA/ACC）发布的指南，急性冠状动脉综合征（ACS）后的选择性经皮冠状动脉介入治疗（PCI）是一种治疗方法，适用于ST段抬高型ACS患者，这些患者存在持续性心肌缺血体征且冠状动脉造影证实冠状动脉有明显狭窄，根据指南适合进行PCI。它也适用于在ST段抬高型心肌梗死（STEMI）的直接PCI过程中发现的其他冠状动脉非罪犯性明显狭窄。在非ST段抬高型心肌梗死（NSTEMI）或非ST段抬高型ACS后，如果低风险患者在无创检查中有缺血阳性体征，则建议进行选择性冠状动脉造影。根据冠状动脉造影结果，按照ESC或AHA/ACC指南进行选择性PCI。该方法的成功在三个层面进行评估，即通过血管造影、临床和围手术期评估。PCI能够更早、更有效地缓解症状，提高运动耐量，并降低无创检查中残余缺血的发生率。
