Arrigo F, Maugeri Saccà C M
Istituto Pluridisciplinare di Clinica Medica, Università degli Studi, Messina.
Cardiologia. 1994 Dec;39(12 Suppl 1):311-6.
The patency of the infarct-related coronary artery seems to be an important prognostic factor after an acute myocardial infarction. Coronary angiography has been used until now to assess coronary patency. However, as it is an invasive procedure and its optimal timing after fibrinolytic treatment has not been established, a noninvasive marker is most desirable. There are a number of methods currently used to document coronary reperfusion non-invasively. This review discusses the advantages and disadvantages of the classic non-invasive methods, like resolution of chest pain, reperfusion arrhythmias, normalization of ST segment elevation, and enzymatic determinations. The imaging methods, especially echocardiography but also magnetic resonance imaging, offer interesting possibilities for the future.
梗死相关冠状动脉的通畅情况似乎是急性心肌梗死后一个重要的预后因素。迄今为止，冠状动脉造影一直被用于评估冠状动脉通畅情况。然而，由于它是一种侵入性检查，且纤维蛋白溶解治疗后的最佳时机尚未确定，因此最需要一种非侵入性标志物。目前有多种方法可用于无创记录冠状动脉再灌注情况。本文综述了经典无创方法的优缺点，如胸痛缓解、再灌注心律失常、ST段抬高恢复正常以及酶学测定。成像方法，尤其是超声心动图，还有磁共振成像，为未来提供了有趣的可能性。
