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缩小梗塞面积的热门线索。

A hot lead on reducing infarct size.

机构信息

Department of Cardiology 27-75, Geisinger Medical Center, Danville, Pennsylvania.

出版信息

Catheter Cardiovasc Interv. 2019 Apr 1;93(5):891-892. doi: 10.1002/ccd.28202.

Abstract

The intracoronary hyperoxemic oxygen therapy study, designed to demonstrate the safety of supersaturated oxygen (SSO ) infused into the left main coronary after percutaneous coronary intervention for anterior ST-elevation myocardial infarction (STEMI), demonstrated a net adverse clinical event rate of 7.1%, lower than the Food and Drug Administration-set goal of 10.7%. SSO , which has reduced infarct size in clinical STEMI trials, might become an important strategy for treating anterior STEMIs. Larger postmarketing trials are needed to determine whether decreases in infarct size are observed in real-world populations, whether they translate into improved clinical outcomes, and whether modifications in technique can streamline the administration of SSO therapy.

摘要

经皮冠状动脉介入治疗前壁 ST 段抬高型心肌梗死(STEMI)后,向左主干冠状动脉内输注超饱和氧(SSO)以证实其安全性的冠状动脉内高氧治疗研究显示,净不良临床事件发生率为 7.1%,低于美国食品和药物管理局设定的 10.7%目标。在临床 STEMI 试验中,SSO 缩小了梗死面积,可能成为治疗前壁 STEMI 的重要策略。需要进行更大规模的上市后试验,以确定在真实人群中是否观察到梗死面积减小,以及是否转化为改善的临床结局,以及技术修改是否可以简化 SSO 治疗的实施。

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