Assous B, Puymirat E
Department of cardiology, université Paris-Descartes, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France.
Department of cardiology, université Paris-Descartes, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France; Inserm U-970, 75015 Paris, France.
Ann Cardiol Angeiol (Paris). 2014 Sep;63(4):262-4. doi: 10.1016/j.ancard.2014.04.003. Epub 2014 Apr 26.
Approximately 50% of patients admitted for ST-elevation myocardial infarction (STEMI) have multi-vessel disease. Current guidelines recommend revascularization of the culprit lesion only during the initial procedure except in cardiogenic shock. Benefits of revascularization of associated functional lesions are not debate. However, timing of the procedure is not clear. This article is a review over timing of secondary revascularization in STEMI patients with multi-vessels disease.
因ST段抬高型心肌梗死（STEMI）入院的患者中，约50%患有多支血管病变。目前的指南建议，除心源性休克外，仅在初次手术时对罪犯病变进行血运重建。对相关功能性病变进行血运重建的益处并无争议。然而，手术时机尚不清楚。本文是对多支血管病变的STEMI患者二次血运重建时机的综述。
