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[经皮冠状动脉快速介入治疗终止的心肌梗死]

[Myocardial infarction aborted by rapid percutaneous coronary intervention].

作者信息

van Etten Jeroen, Verheugt Freek W A

机构信息

Onze Lieve Vrouwe Gasthuis, afd. Cardiologie, Amsterdam, The Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2009;153:A467.

Abstract

In a 55-year-old woman and a 51-year-old man with an ST segment elevation myocardial infarction confirmed by ECG, the infarction could still be aborted by percutaneous coronary intervention with stenting. An aborted myocardial infarction can be described as an acute myocardial infarction in which rapid reperfusion therapy allows normalization of ECG abnormalities with no meaningful cardiac enzyme abnormalities found in the blood. Scientific evidence shows fibrinolysis to be effective in aborting myocardial infarction, but for percutaneous coronary intervention this has not been proven. Nevertheless, the results of the 2 cases discussed in our article are promising.

摘要

在一名55岁女性和一名51岁男性患者中,心电图证实为ST段抬高型心肌梗死,但经皮冠状动脉介入置入支架后梗死仍可被终止。可将终止的心肌梗死描述为一种急性心肌梗死,其中快速再灌注治疗可使心电图异常恢复正常,且血液中未发现有意义的心肌酶异常。科学证据表明纤维蛋白溶解疗法在终止心肌梗死方面有效,但经皮冠状动脉介入治疗的有效性尚未得到证实。尽管如此,我们文章中讨论的这2例病例的结果很有前景。

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