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优化急性ST段抬高型心肌梗死的直接经皮冠状动脉介入治疗 被引量：2

Optimizing primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction
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摘要 对ST段抬高型心肌梗死实施直接经皮冠状动脉介入治疗不应只是为获得TIMI 3级血流,而应是良好的心肌灌注。可通过上游使用血小板膜糖蛋白Ⅱb/Ⅲa受体拮抗剂、他汀类调脂药,个体化正确使用血栓抽吸装置,必要时延迟支架植入等手段,优化直接经皮冠状动脉介入治疗术的效果。 The goal of the primary percutaneous coronary intervention performed on patients with ST-seg-ment elevation myocardial infarction is not a patency blood flow with TIMI 3,but a good myocardial perfusion.Combined use of upstream used GPⅡb/Ⅲa receptor antagonists,individual use of thrombus aspiration and delayed stent implantation if it＇s necessary may produce an optimal result.
作者 毛晓波 曾秋棠
机构地区 华中科技大学附属协和医院心血管病研究所
出处 《临床心血管病杂志》 CAS CSCD 北大核心 2012年第5期321-322,共2页 Journal of Clinical Cardiology
关键词 ST段抬高型心肌梗死 直接经皮冠状动脉介入治疗 ST-segment elevation myocardial infarction primary percutaneous coronary intervention
分类号 R542.2 [医药卫生—心血管疾病]
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参考文献8

  • 1HEESTERMANS T, SURYAPRANATA H, TEN BERG J M, et al. Facilitated reperfusion with prehospital glycoprotein IIb/lIIa inhibition: predictors of complete ST-segment resolution before primary percutaneous coronary intervention in the On-TIME 2 trial: correlates of reperfusion before primary PCI [J]. J Electrocardiol,2011,44:42-48.
  • 2HERMANIDES R S, VAN HOUWELINGEN G, OTTERVANGER J P, et al. The impact of age on effects of pre-hospital initiation of high bolus dose of tirofiban before primary angioplasty for ST-elevation myocardial infarction [J].Cardiovasc Drugs Tber, 2011,25:323-330.
  • 3PATTI G, PASCERI V, COLONNA G, et al. Atorvastatin pretreatment improves outcomes in patients with acute coronary syndromes undergoing early percutaneous coronary intervention., results of the AR- MYDA-ACS randomized trial[J]. J Am Coil Cardiol, 2007,49:1272-1278.
  • 4KIM J S, KIM J, CHOI D, et al. Efficacy of highdose atorvastatin loading before primary percutaneous coronary intervention in ST-Segment elevation myocardial infarction: the STATIN STEMI trail[J]. JACC Cardiovasc Interv, 2010,3 : 332- 339.
  • 5廖玉华.经皮冠状动脉介入治疗术前的负荷剂量他汀类药物治疗[J].临床心血管病杂志,2011,27(1):1-3. 被引量：10
  • 6SVILAAS T, VLAAR P j, VAN DER HORST I C, et al. Thrombus aspiration during primary percutane- ous coronary intervention[J]. N Engl J Med, 2008, 358:557-567.
  • 7SARDELLA G, MANCONE M, CANALI E, et al. Impact of thrombectomy with EXPorT Catheter in Infarct-Related Artery during Primary Percutaneous Coronary Intervention (EXPIRA Trial) on cardiac death[J].Am J Cardiol, 2010,106 : 624- 629.
  • 8VLAAR P J, SVILAAS T, VAN DER HORST I C, et al. Cardiac death and reinfarction after 1 year in the Thrombus Aspiration during Percutaneous coronary intervention in Acute myocardial infarction Study (TAPAS) : a 1-year follow-up study [J]. Lancet, 2008,371 : 1915-1920.

二级参考文献3

  • 1YUN K H, JEONG M H, KYU S, et al. The beneficial effect of high loading dose of rosuvastatin before percutaneous coronary intervention in patients with acute coronary syndrome[J]. Int J Cardiol,2009,137 : 246-251.
  • 2VESELKA J, ZEMANEK D, HAJEK P, et al Effect of two-day atorvastatin pretreatment on the Incidence of periprocedural myocardial infarction following elective percutaneous coronary intervention: a single-center, prospective, and randomized study[J]. Am J Cardiol,2009,104:630-633.
  • 3NICHOLLS S J, BRANDRUP-WOGNSEN G, PALMER M, et al. Meta-analysis of comparative efficacy of increasing dose of atorvastatin versus rosuvastatin versus Simvastatin on lowering levels of atherogenie lipids (from VOYAGER) [J]. Am J Cardiol,2010,105: 69-76.

共引文献9

同被引文献16

引证文献2

二级引证文献26

临床心血管病杂志
2012年 第5期

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