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急性冠状动脉综合征的急诊科治疗

Emergency department treatment of acute coronary syndromes.

作者信息

Yiadom Maame Yaa A B

机构信息

Department of Emergency Medicine, The Cooper Heart Institute, Robert Wood Johnson Medical School, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, USA.

出版信息

Emerg Med Clin North Am. 2011 Nov;29(4):699-710, v. doi: 10.1016/j.emc.2011.09.016.

DOI:10.1016/j.emc.2011.09.016
PMID:22040701
Abstract

Acute coronary syndrome (ACS) is a broad term encompassing a spectrum of acute myocardial ischemia and injury ranging from unstable angina and non-ST-segment elevation myocardial infarction to ST-segment elevation myocardial infarction. ACS accounts for approximately 1.2 million hospital admissions in the United States annually. The aging of the United States population, along with the national obesity epidemic and the associated increase in metabolic syndrome, means that the number of individuals at risk for ACS will continue to increase for the foreseeable future. This article reviews the current evidence and guidelines for the treatment of patients along the continuum of ACS.

摘要

急性冠状动脉综合征(ACS)是一个广义术语,涵盖一系列急性心肌缺血和损伤,范围从不稳定型心绞痛、非ST段抬高型心肌梗死到ST段抬高型心肌梗死。在美国,ACS每年约导致120万人住院。美国人口老龄化,加上全国性的肥胖流行以及相关的代谢综合征增加,意味着在可预见的未来,有ACS风险的个体数量将持续增加。本文回顾了ACS连续病程中患者治疗的当前证据和指南。

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