ST 段抬高型心肌梗死的最佳再灌注——冠状动脉微循环的作用。
Optimal reperfusion in ST-elevation myocardial infarction--the role of the coronary microcirculation.
机构信息
Oxford Heart Centre-The John Radcliffe Hospital, Oxford University Hospitals, OX39DU Oxford, UK.
出版信息
Swiss Med Wkly. 2011 Dec 9;141:w13313. doi: 10.4414/smw.2011.13313. eCollection 2011.
Coronary microcirculation plays a crucial role for the outcomes of patients with STEMI. Although PPCI improves outcomes compared to thrombolysis, a substantial amount of STEMI patients do not achieve optimal myocardial reperfusion. Angiographic methods for assessment of reperfusion like TIMI Flow and MBG are easy to use but new, catheter laboratory based techniques to assess reperfusion have a lot of potential to assess and potentially guide management of patients with STEMI.
冠状动脉微循环对 STEMI 患者的预后起着至关重要的作用。虽然与溶栓治疗相比，直接经皮冠状动脉介入治疗（PPCI）可改善预后，但仍有相当数量的 STEMI 患者未实现理想的心肌再灌注。用于评估再灌注的血管造影方法，如 TIMI 血流分级和心肌灌注分级，易于使用，但新的基于导管实验室的技术，有很大的潜力来评估和潜在地指导 STEMI 患者的管理。
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