发病两天以上行经皮冠状动脉介入治疗的严重ST段抬高型急性心肌梗死：一例显著康复的病例
Acute Myocardial Infarction with Severe ST Segment Elevation Treated with Percutaneous Coronary Intervention More than Two Days after Onset: A Case with Remarkable Recovery.
作者信息
Sone Michiyoshi, Tamiya Eiji, Sesoko Masahiro, Takabe Tomosato, Koizumi Akiko, Doi Yoshio, Kanoh Tatsuji, Ebihara Isao, Koide Hikaru, Okai Iwao, Yamashita Haruyo, I Seigen, Okazaki Shinya, Sai Eiryu, Daida Hiroyuki
出版信息
Int J Angiol. 2011 Jun;20(2):103-6. doi: 10.1055/s-0031-1279680.
Abstract
The patient was a 65-year-old man with marked ST-elevation myocardial infarction. Cardiac catheterization revealed an occluded middle portion of the left anterior descending artery and no collateral circulation. Percutaneous coronary intervention (PCI) was performed, and ST elevation improved 5 days after PCI. Almost all electrocardiogram (ECG) findings were normal 6 months later. Echocardiographic findings were also normal. This case was very successful and unusual in that no ventricular aneurysm formed despite ST elevation continuing for a few days and that ECG and left ventricular function were nearly normal after PCI performed days after the onset in a case without collateral circulation.
摘要
该患者为一名65岁男性，患有明显的ST段抬高型心肌梗死。心脏导管检查显示左前降支动脉中段闭塞，且无侧支循环。进行了经皮冠状动脉介入治疗（PCI），PCI术后5天ST段抬高有所改善。6个月后几乎所有心电图（ECG）结果均正常。超声心动图检查结果也正常。该病例非常成功且不常见，原因在于尽管ST段抬高持续了几天，但并未形成室壁瘤，并且在发病数天后且无侧支循环的情况下进行PCI术后，心电图和左心室功能几乎正常。
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本文引用的文献
1
Time to take myocardial reperfusion injury seriously.是时候认真对待心肌再灌注损伤了。
N Engl J Med. 2008 Jul 31;359(5):518-20. doi: 10.1056/NEJMe0803746.
2
Myocardial reperfusion injury.心肌再灌注损伤
N Engl J Med. 2007 Sep 13;357(11):1121-35. doi: 10.1056/NEJMra071667.
3
Quantitative effect of atorvastatin on size and content of non-calcified plaques of coronary arteries 1 year after atorvastatin treatment by multislice computed tomography.
Int J Cardiol. 2008 Nov 12;130(2):269-75. doi: 10.1016/j.ijcard.2007.07.013. Epub 2007 Aug 16.
4
Atorvastatin pretreatment improves outcomes in patients with acute coronary syndromes undergoing early percutaneous coronary intervention: results of the ARMYDA-ACS randomized trial.阿托伐他汀预处理可改善接受早期经皮冠状动脉介入治疗的急性冠状动脉综合征患者的预后：ARMYDA-ACS随机试验结果
J Am Coll Cardiol. 2007 Mar 27;49(12):1272-8. doi: 10.1016/j.jacc.2007.02.025.
5
Early statin treatment in patients with acute coronary syndrome: demonstration of the beneficial effect on atherosclerotic lesions by serial volumetric intravascular ultrasound analysis during half a year after coronary event: the ESTABLISH Study.急性冠状动脉综合征患者的早期他汀类药物治疗：通过冠状动脉事件后半年内的系列容积血管内超声分析证明对动脉粥样硬化病变的有益作用：ESTABLISH研究
Circulation. 2004 Aug 31;110(9):1061-8. doi: 10.1161/01.CIR.0000140261.58966.A4. Epub 2004 Aug 23.
6
Intensive versus moderate lipid lowering with statins after acute coronary syndromes.急性冠状动脉综合征后使用他汀类药物强化降脂与中度降脂的比较。
N Engl J Med. 2004 Apr 8;350(15):1495-504. doi: 10.1056/NEJMoa040583. Epub 2004 Mar 8.
7
Effect of intensive compared with moderate lipid-lowering therapy on progression of coronary atherosclerosis: a randomized controlled trial.强化降脂治疗与中度降脂治疗对冠状动脉粥样硬化进展的影响：一项随机对照试验。
JAMA. 2004 Mar 3;291(9):1071-80. doi: 10.1001/jama.291.9.1071.
8
Changes in coronary plaque color and morphology by lipid-lowering therapy with atorvastatin: serial evaluation by coronary angioscopy.
J Am Coll Cardiol. 2003 Aug 20;42(4):680-6. doi: 10.1016/s0735-1097(03)00770-8.
9
Reduction of infarct size by short-term pretreatment with atorvastatin.阿托伐他汀短期预处理可减小梗死面积。
Cardiovasc Drugs Ther. 2003 Jan;17(1):25-30. doi: 10.1023/a:1024251607923.
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Am J Cardiol. 2003 Jan 15;91(2):128-32. doi: 10.1016/s0002-9149(02)03096-5.
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