Gorjup Vojka, Noc Marko, Radsel Peter
Vojka Gorjup, Marko Noc, Peter Radsel, Department of Intensive Internal Medicine, University Medical Center Ljubljana, 1000 Ljubljana, Slovenia.
World J Cardiol. 2014 Jun 26;6(6):444-8. doi: 10.4330/wjc.v6.i6.444.
Coronary artery disease is the most frequent cause of sudden cardiac death. There is general consensus that immediate coronary angiography with percutaneous coronary intervention (PCI) should be performed in all conscious and unconscious patients with ST-elevation myocardial infarction in post-resuscitation electrocardiogram. In these patients acute coronary thrombotic lesion ("ACS" lesion) suitable for PCI is typically present in more than 90%. PCI in these patients is not only feasible and safe but highly effective and there is evidence of improved survival with good neurological outcome. PCI of the culprit lesion is the primary goal while PCI of stable obstructive lesions may be postponed unless post-resuscitation cardiogenic shock is present.
冠状动脉疾病是心脏性猝死最常见的原因。目前普遍达成的共识是，对于复苏后心电图显示ST段抬高型心肌梗死的所有有意识和无意识患者，均应立即进行冠状动脉造影及经皮冠状动脉介入治疗（PCI）。在这些患者中，超过90%通常存在适合PCI的急性冠状动脉血栓性病变（“急性冠状动脉综合征”病变）。对这些患者进行PCI不仅可行且安全，而且非常有效，并且有证据表明生存率提高且神经功能预后良好。罪犯病变的PCI是主要目标，而稳定阻塞性病变的PCI可推迟进行，除非复苏后出现心源性休克。
