Valladares B K, Lemberg L
Heart Lung. 1983 Nov;12(6):666-70.
An important question facing the profession each and every day is whether to recommend cardiac catheterization to a patient who has just had an acute myocardial infarction. Criteria have been proposed and ongoing studies are helping to establish guidelines to determine which survivors of an uncomplicated myocardial infarction can benefit from a knowledge of the coronary anatomy and ventricular function. In the case presented in this vignette the problem is related to angina recurring during the early stages of an acute myocardial infarction. Postinfarction angina often reflects subtotal obstruction of a major coronary artery that supplies either a portion of the myocardium that had infarcted or myocardium distant from the zone of the infarction. This is a high-risk group. Here the criteria are firmly established. Coronary angiography should be performed promptly to help determine whether coronary artery bypass surgery or balloon angioplasty is indicated.
该行业每天面临的一个重要问题是，是否要为刚发生急性心肌梗死的患者推荐心脏导管插入术。已经提出了相关标准，正在进行的研究有助于制定指导方针，以确定哪些无并发症心肌梗死的幸存者能够从了解冠状动脉解剖结构和心室功能中获益。在本案例中，问题与急性心肌梗死早期复发的心绞痛有关。梗死后心绞痛通常反映了主要冠状动脉的次全阻塞，该动脉供应梗死心肌的一部分或远离梗死区域的心肌。这是一个高危群体。在此，标准已经明确确立。应立即进行冠状动脉造影，以帮助确定是否需要进行冠状动脉搭桥手术或球囊血管成形术。
