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ST段抬高型心肌梗死合并多支冠状动脉疾病患者的功能性完全血运重建

Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease.

作者信息

Di Serafino Luigi, Magliulo Fabio, Esposito Giovanni

机构信息

Department of Advanced Biomedical Sciences, University of Naples Federico II Naples, Italy.

出版信息

Interv Cardiol. 2021 Jul 27;16:e24. doi: 10.15420/icr.2020.28. eCollection 2021 Apr.

DOI:10.15420/icr.2020.28
PMID:34400971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8353546/
Abstract

Up to half of patients undergoing primary percutaneous coronary intervention of a culprit stenosis in the context of the ST-elevation MI may present with multivessel disease. The presence of non-culprit stenoses have been shown to affect the outcomes of these patients, and the results of the more recent randomised trials highlight the importance of complete coronary revascularisation. In this paper, the authors review the main trials published on the topic and discuss tools for the assessment of non-culprit stenoses, while considering the right time for carrying out a complete coronary revascularisation.

摘要

在ST段抬高型心肌梗死情况下，对罪犯血管狭窄进行直接经皮冠状动脉介入治疗的患者中，多达一半可能存在多支血管病变。已证实非罪犯血管狭窄的存在会影响这些患者的预后，而最近的随机试验结果凸显了完全冠状动脉血运重建的重要性。在本文中，作者回顾了关于该主题发表的主要试验，并讨论了评估非罪犯血管狭窄的工具，同时考虑进行完全冠状动脉血运重建的合适时机。

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1
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Interv Cardiol. 2021 Jul 27;16:e24. doi: 10.15420/icr.2020.28. eCollection 2021 Apr.
2
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Circ Cardiovasc Interv. 2017 Apr;10(4). doi: 10.1161/CIRCINTERVENTIONS.116.004460.
3
Complete revascularisation versus treatment of the culprit lesion only in patients with ST-segment elevation myocardial infarction and multivessel disease (DANAMI-3—PRIMULTI): an open-label, randomised controlled trial.完全血运重建与罪犯病变治疗在 ST 段抬高型心肌梗死和多血管病变患者中的比较（DANAMI-3—PRIMULTI）：一项开放标签、随机对照试验。
Lancet. 2015 Aug 15;386(9994):665-71. doi: 10.1016/s0140-6736(15)60648-1.
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本文引用的文献

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ADDED Index or Percentage Diameter of Residual Coronary Stenosis to Risk-Stratify Patients Presenting With STEMI.增加残余冠状动脉狭窄的指数或百分比直径以对 STEMI 患者进行风险分层。
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Nonculprit Lesion Plaque Morphology in Patients With ST-Segment-Elevation Myocardial Infarction: Results From the COMPLETE Trial Optical Coherence Tomography Substudys.ST段抬高型心肌梗死患者非罪犯病变的斑块形态：COMPLETE试验光学相干断层扫描子研究结果
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Complete revascularization reduces cardiovascular death in patients with ST-segment elevation myocardial infarction and multivessel disease: systematic review and meta-analysis of randomized clinical trials.完全血运重建可降低ST段抬高型心肌梗死合并多支血管病变患者的心血管死亡风险：随机临床试验的系统评价与荟萃分析
Eur Heart J. 2020 Nov 7;41(42):4103-4110. doi: 10.1093/eurheartj/ehz896.
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Identification of patients and plaques vulnerable to future coronary events with near-infrared spectroscopy intravascular ultrasound imaging: a prospective, cohort study.应用近红外光谱血管内超声成像技术识别易发生未来冠状动脉事件的患者和斑块：一项前瞻性队列研究。
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