心肌缺血：是冠状动脉血流不足还是心肌供需失衡？
Myocardial Ischemia: Lack of Coronary Blood Flow or Myocardial Oxygen Supply/Demand Imbalance?
机构信息
From the Institute for Pathophysiology, West German Heart and Vascular Center, University of Essen Medical School, Essen, Germany.
出版信息
Circ Res. 2016 Jul 8;119(2):194-6. doi: 10.1161/CIRCRESAHA.116.308925.
Abstract
Regional myocardial blood flow and contractile function in ischemic myocardium are well matched, and there is no evidence for an oxygen supply/demand imbalance. Thus, myocardial ischemia is lack of coronary blood flow with electric, functional, metabolic, and structural consequences for the myocardium. All therapeutic interventions must aim to improve blood flow to ischemic myocardium as much and as quickly as possible.
摘要
缺血心肌的区域性心肌血流和收缩功能相匹配，没有证据表明存在氧供需失衡。因此，心肌缺血是指缺乏冠状动脉血流，这会对心肌产生电、功能、代谢和结构方面的影响。所有的治疗干预措施都必须旨在尽可能地尽快改善缺血心肌的血流。
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