[1]朱建中 吴倩芸 刘峰.急性ST段抬高型心肌梗死“导管室误激活”的临床进展[J].心血管病学进展,2019,(5):739-744.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.019]
　ZHU JianzhongWU QianyunLIU Feng.The Development of False-positive Activation of Cardiac Catheterization Laboratory with Acute ST Segment Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2019,(5):739-744.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.019]
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急性ST段抬高型心肌梗死“导管室误激活”的临床进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年5期
页码:
739-744
栏目:
综述
出版日期:
2019-08-25

文章信息/Info

Title:
The Development of False-positive Activation of Cardiac Catheterization Laboratory with Acute ST Segment Elevation Myocardial Infarction
作者:
朱建中1 吴倩芸 1 刘峰 2
(1.昆山市第一人民医院心血管内科,江苏 苏州 215300;2.上海交通大学医学院苏州九龙医院心血管内科,江苏 苏州 215000)
Author(s):
ZHU Jianzhong1WU Qianyun1LIU Feng2
Department of CardiologyKunshan First people’s HospitalSuzhou 215300JiangsuChina2.Department of CardiologySuzhou Kowloon Hospital Shanghai Jiao Tong University School of MedicineSuzhou 215 000JiangsuChina)
关键词:
导管室激活; 误激活; 急性心肌梗死
Keywords:
Cardiac catheterization laboratory activations;  False-positive activation; Acute myocardial infarction
DOI:
10.16806/j.cnki.issn.1004-3934.2019.05.019
摘要:
急性ST段抬高型心肌梗死是心内科的急症之一，以胸痛为主要表现，病情变化快、死亡率高，对救治要求严苛。目前国内外最新指南均推荐直接经皮冠状动脉介入术治疗作为急性心肌梗死的首选治疗方案，冠状动脉罪犯血管开通时间越早，则预后越佳。院前激活导管室作为急性胸痛患者诊治流程的关键步骤，显著缩短了门球时间，提高了急性心肌梗死的救治成功率。然而随着胸痛中心的发展，临床发现过度激活或错误激活导管室会降低胸痛救治的质量与效率，导管室误激活（或称假阳性激活）这一概念亟需引起临床工作重视，以更好的把控急诊冠状动脉造影质量，进一步提高胸痛救治水平。
Abstract:
Acute ST segment elevation myocardial infarction (STEMI) is one of the most severe cardiovascular diseases, mainly manifested as chest pain. Condition of the disease could rapidly change causing a high mortality. Strict and timely treatments are required. The latest guidelines recommend percutaneous coronary intervention (PCI) as the first choice of treatment. The earlier opening of the infarct-related artery the better the prognosis will be. Therefore, pre-hospital cardiac catheterization laboratory activations can significantly shorten the Door-to-Balloon time and improve the survival rate of STEMI as a effective mean in the diagnosis and treatment of patients with acute myocardial infarction. However, with the development of the Chest Pain Center, researches showed that excessive or false-positive cardiac catheterization laboratory activations might reduce the quality and efficiency in chest pain treatment. The concept of false-positive activation should be taken seriously, which guides to improve the quality of emergency coronary angiography and the process of chest pain treatment.

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更新日期/Last Update: 2019-12-24