Columbia University Medical Center/New York Presbyterian Hospital and The Cardiovascular Research Foundation, 161 Fort Washington Ave, 6th Floor, New York, NY 10032, USA.
Curr Cardiol Rep. 2013 Jul;15(7):373. doi: 10.1007/s11886-013-0373-3.
The coexistence of an acute coronary syndrome (ACS) and non-cardiac surgery (NCS) in an individual patient can be summarized in two challenging clinical scenarios for the treating physician: 1) Post-operative patients who develop ACS and 2) Patients with ACS who subsequently require NCS. Both settings are characterized by a struggle on the part of treating physicians attempting to optimize antithrombotic therapies for ACS while minimizing post-surgical bleeding risk. In this review we address specific clinical issues related to patients with coexistent NCS and ACS, discussing possible management strategies balancing ischemic and bleeding risk in these complex patient scenarios.
个体患者同时存在急性冠脉综合征（ACS）和非心脏手术（NCS），这可概括为治疗医生面临的两个具有挑战性的临床情况：1）术后发生 ACS 的患者，以及 2）随后需要 NCS 的 ACS 患者。这两种情况的特点是，治疗医生在努力优化 ACS 的抗血栓治疗的同时，最大限度地降低术后出血风险。在这篇综述中，我们将讨论与同时患有 NCS 和 ACS 的患者相关的具体临床问题，讨论在这些复杂患者情况下平衡缺血和出血风险的可能管理策略。
