[1]邓媛 李伟 熊信林 段宗刚.急性ST段抬高型心肌梗死救治时间节点对预后影响的研究进展[J].心血管病学进展,2021,(11):1024-1027.[doi:10.16806/j.cnki.issn.1004-3934.2021.11.000]
 DENG Yuan,LI Wei,XIONG Xinlin,et al.Effect of Treatment Time Node on Prognosis of STEMI[J].Advances in Cardiovascular Diseases,2021,(11):1024-1027.[doi:10.16806/j.cnki.issn.1004-3934.2021.11.000]
点击复制

急性ST段抬高型心肌梗死救治时间节点对预后影响的研究进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年11期
页码:
1024-1027
栏目:
综述
出版日期:
2021-11-25

文章信息/Info

Title:
Effect of Treatment Time Node on Prognosis of STEMI
文章编号:
202105043
作者:
邓媛 李伟 熊信林 段宗刚
(贵州医科大学,贵州 贵阳550000)
Author(s):
DENG YuanLI WeiXIONG XinlinDUAN Zonggang
关键词:
急性ST段抬高型心肌梗死入门-出门时间入门-球囊扩张时间首次医疗接触-球囊扩张时间总缺血时间
Keywords:
Acute ST-segment elevation myocardial infarctionDoor-in to door-outDoor-to-balloonFirst medical contact-to-balloonTotal ischemic time
DOI:
10.16806/j.cnki.issn.1004-3934.2021.11.000
摘要:
急性ST段抬高型心肌梗死(STEMI)已成为目前心血管疾病患者死亡的主要原因。STEMI患者救治的关键在于早期开通梗死相关动脉,挽救坏死心肌。虽然大量的临床及循证医学证据证明直接经皮冠状动脉介入治疗是首选的再灌注策略,但部分患者在地理位置和首诊医院医疗条件等一些因素的限制下,可能造成救治时间上的延迟。在STEMI患者的救治中,时间就是心肌,对各项时间节点的控制显得尤为重要。现就STEMI救治环节中首诊医院入门-出门时间,经皮冠状动脉介入治疗接诊医院入门-球囊扩张时间、首次医疗接触-球囊扩张时间及总缺血时间对患者预后的影响进行综述。
Abstract:
Acute ST-segment elevation myocardial infarction(STEMI) has become the leading cause of death in patients with cardiovascular diseases. The key to the treatment of patients with STEMI is to open the infarct related artery early and save the necrotic myocardium. Although a large number of clinical and evidence-based medical evidences have proved that primary percutaneous coronary intervention is the preferred reperfusion strategy,the treatment time may be delayed for some patients due to the limitation of geographical location,medical conditions of the first hospital and other factors. In the treatment of STEMI patients,time is the heart muscle,and the control of each time node is particularly important. This article reviews the effects of door-in to door-out、door-to-balloon、first medical contact-to-balloon and total ischemic time on the prognosis of STEMI patients

参考文献/References:

[1].Thygesen K,Alpert JS,Jaffe AS,et al. Fourth universal definition of myocardial infarction(2018)[J]. J Am Coll Cardiol,2018,72(18):2231-2264.
[2].中华医学会心血管病学分会,中华心血管病杂志编辑委员会. 急性ST段抬高型心肌梗死诊断和治疗指南[J]. 中华心血管病杂志,2019,47(10):766-783.
[3].[3]Wang TY,Peterson ED,Ou FS,et al. Door-to-balloon times for patients with ST-segment elevation myocardial infarction requiring interhospital transfer for primary percutaneous coronary intervention:a report from the national cardiovascular data registry[J]. Am Heart J,2011,161(1):76-83.e1.
[4].[4]O’Gara PT,Kushner FG,Ascheim DD,et al. 2013 ACCF/AHA guideline for the management of ST elevation myocardial infarction:a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J]. Circulation,2013,127(4):e362-e425.
[5].[5]Lambert LJ,Brown KA,Boothroyd LJ,et al. Transfer of patients with ST-elevation myocardial infarction for primary percutaneous coronary intervention:a province-wide evaluation of “door-in to door-out” delays at the first hospital[J]. Circulation,2014,129(25):2653-2660.
[6].[6]Shi O,Khan AM,Rezai MR,et al. Factors associated with door-in to door-out delays among ST-segment elevation myocardial infarction(STEMI) patients transferred for primary percutaneous coronary intervention:a population-based cohort study in Ontario,Canada[J]. BMC Cardiovasc Disord,2018,18(1):204.
[7].[7]Clot S,Rocher T,Morvan C,et al. Door-in to door-out times in acute ST-segment elevation myocardial infarction in emergency departments of non-interventional hospitals:a cohort study[J]. Medicine(Baltimore),2020,99(23):e20434.
[8].[8]童兰,成联超,张翠,等. 社交网络联系的建立对转运经皮冠状动脉介入治疗患者救治效率的影响[J]. 中国介入心脏病学杂志,2020,28(2):88-93.
[9].[9]Dakota I,Dharma S,Andriantoro H,et al.“Door-in to door-out” delay in patients with acute ST-segment elevation myocardial infarction transferred for primary percutaneous coronary intervention in a metropolitan STEMI Network of a developing country[J]. Int J Angiol,2020,29(1):27-32.
[10].[10]中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2019概要[J]. 中国循环杂志,2020,35(9):833-854.
[11].[11]中国胸痛中心联盟,中国心血管健康联盟,中国医师协会胸痛专业委员会. 《中国胸痛中心质控报告(2019)》概要[J]. 中国介入心脏病学杂志,2020,28(8):421-424.
[12].[12]Ibanez B,James S,Agewall S,et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation:the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology(ESC)[J]. Eur Heart J,2018,39(2):119-177.
[13].[13]Wong GC,Welsford M,Ainsworth C,et al. 2019 Canadian Cardiovascular Society/ Canadian Association of Interventional Cardiology Guidelines on the acute management of ST-elevation myocardial infarction:focused update on regionalization and reperfusion[J]. Can J Cardiol,2019,35(2):107-132.
[14].[14]Park J,Choi KH,Lee JM,et al. Prognostic implications of door-to-balloon time and onset-to-door time on mortality in patients with ST-segment-elevation myocardial infarction treated with primary percutaneous coronary intervention[J]. Am Heart Assoc,2019,8(9):e012188.
[15].[15]Foo CY,Andrianopoulos N,Brennan A,et al. Re-examining the effect of door-to-balloon delay on STEMI outcomes in the context of unmeasured confounders:a retrospective cohort study[J]. Sci Rep,2019,9(1):19978.
[16].[16]Foo CY,Bonsu KO,Nallamothu BK,et al. Coronary intervention door-to-balloon time and outcomes in ST-elevation myocardial infarction:a meta-analysis[J]. Heart,2018,104(16):1362-1369.
[17].[17]Tsukui T,Sakakura K,Taniguchi Y,et al. Association between the door-to-balloon time and mid-term clinical outcomes in patients with ST-segment elevation myocardial infarction[J]. Intern Med,2020,59(3):1597-1603.
[18].[18]Karkabi B,Meir G,Zafrir B,et al. Door-to-balloon time and mortality in patients with ST-elevation myocardial infarction undergoing primary angioplasty[J]. Eur Heart J Qual Care Clin Outcomes,2021,7(4):422-426.
[19].[19]Nallamothu BK,Bates ER,Herrin J,et al. Times to treatment in transfer patients undergoing primary percutaneous coronary intervention in the United States:National Registry of Myocardial Infarction(NRMI)-3/4 analysis[J]. Circulation,2005,111(6):761-767.
[20].[20]Garcia S,Schmidt CW,Garberich R,et al. Temporal changes in patient characteristics and outcomes in ST-segment elevation myocardial infarction 2003-2018[J]. Catheter Cardiovasc Interv,2021,97(6):1109-1117.
[21].[21]中国胸痛中心认证工作委员会,易绍东,霍勇,等. 胸痛中心认证对ST段抬高型心肌梗死患者院前救治效率的影响[J]. 中国医学前沿杂志(电子版),2017,9(1):11-15.
[22].[22]Koul S,Andell P,Martinsson A,et al. Delay from first medical contact to primary PCI and all-cause mortality:a nationwide study of patients with ST-elevation myocardial infarction[J]. J Am Heart Assoc,2014,3(2):e000486.
[23].[23]Alrawashdeh A,Nehme Z,Williams B,et al. Emergency medical service delays in ST-elevation myocardial infarction:a meta-analysis[J]. Heart,2020,106(5):365-373.
[24].[24]Scholz KH,Maier SKG,Maier LS,et al. Impact of treatment delay on mortality in ST-segment elevation myocardial infarction(STEMI) patients presenting with and without haemodynamic instability:results from the German prospective,multicentre FITT-STEMI trial[J]. Eur Heart J,2018,39(13):1065-1074.
[25].[25]尚珊珊,郭欣,张燕. 胸痛中心区域协同救治体系对ST段抬高型心肌梗死再灌注时间和预后的影响[J]. 中国介入心脏病学杂志,2020,28(1):26-30.
[26].[26]张旭霞,王树东,王锐,等. 胸痛中心认证对急性ST段抬高型心肌梗死患者救治效率的影响[J]. 中国介入心脏病学杂志,2020,28(4):203-207.
[27].[27]Denktas AE,Anderson HV,McCarthy J,et al. Total ischemic time:the correct focus of attention for optimal ST-segment elevation myocardial infarction care[J]. JACC Cardiovasc Interv,2011,4(6):599-604.
[28].[28]Polańska-Skrzypczyk M,Karcz M,Bekta P,et al. Total ischaemic time and 9-year outcomes in STEMI patients treated with pPCI[J].Int J Cardiol,2015,184:184-189.
[29].[29]Solhpour A,Chang KW,Arain SA,et al. Ischemic time is a better predictor than door-to-balloon time for mortality and infarct size in ST-elevation myocardial infarction[J]. Catheter Cardiovasc Interv,2016,87(7):1194-1200.
[30].[30]Alsamara M,Degheim G,Gholkar G,et al. Is symptom to balloon time a better predictor of outcomes in acute ST-segment elevation myocardial infarction than door to balloon time?[J]. Am J Cardiovasc Dis,2018,8(4):43-47.
[31].[31]李其勇,苏莱,张永超,等. 急性ST段抬高型心肌梗死总缺血时间对再灌注冠脉血流和近期预后的影响[J]. 实用医院临床杂志,2019,16(2):41-45.

相似文献/References:

[1]谷阳 史亚非 张刚 张东营 张清.急性ST段抬高型心肌梗死患者血浆中性粒细胞明胶酶相关脂质运载蛋白水平与梗死后心室重构的相关性研究[J].心血管病学进展,2019,(5):836.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.042]
 GU Yang,SHI Yafei,ZHANG Gang,et al.Neutrophil Gelatinase-associated Lipocalin is Associated with Cardiac Remodeling in Patients with ST-segment Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2019,(11):836.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.042]
[2]郝明辉 郭明 唐宇 杨婧 柳子静 闫蕊 李萍 郭金成.急性ST段抬高型心肌梗死患者PCI后血清EREG水平及其与预后的关系[J].心血管病学进展,2020,(1):102.[doi:10.16806/j.cnki.issn.1004-3934.2020.01.027]
 HAO Minghui,GUO Ming,TANG Yu,et al.Serum EREG Level after PCI and Its Relationship with Prognosis in Patients with Acute ST-segment Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2020,(11):102.[doi:10.16806/j.cnki.issn.1004-3934.2020.01.027]
[3]赵鸿泽 刘剑雄.急性ST段抬高型心肌梗死介入手术时间窗与心室重塑的相关性研究[J].心血管病学进展,2020,(2):208.[doi:10.16806/j.cnki.issn.1004-3934.2020.02.028]
 ZHAO Hongze,LIU Jianxiong.Correlation between the Onset Time and Ventricular Remodeling in Scute ST-segment Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2020,(11):208.[doi:10.16806/j.cnki.issn.1004-3934.2020.02.028]
[4]刘丽芳 彭瑜 张钲.急性ST段抬高型心肌梗死患者再灌注后心肌内出血的研究进展[J].心血管病学进展,2022,(5):444.[doi:10.16806/j.cnki.issn.1004-3934.2022.05.015]
 LIU Lifang,PENG Yu,ZHANG Zheng.Intracardial Hemorrhage After Reperfusion in Patients with Acute ST-Segment Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2022,(11):444.[doi:10.16806/j.cnki.issn.1004-3934.2022.05.015]
[5]张兆元 马茜钰 张丹 彭石 张锦.C反应蛋白与高密度脂蛋白胆固醇比值、N末端脑钠肽前体与射血分数比值对STEMI患者PCI术后院内MACE的预测价值研究[J].心血管病学进展,2023,(2):186.[doi:10.16806/j.cnki.issn.1004-3934.2023.02.020]
 ZHANG ZhaoyuanMA QianyuZHANG DanPENG ShiZHANG Jin.The Predictive Value of C-reactive Protein to High Density Lipoprotein Cholesterol Ratio and NT-proBNP to Ejection Fraction Ratio for Hospital MACE in Patients with STEMI After PCI[J].Advances in Cardiovascular Diseases,2023,(11):186.[doi:10.16806/j.cnki.issn.1004-3934.2023.02.020]
[6]苏利芳 汪雁博 刘畅畅 姜云发.急性ST段抬高型心肌梗死后支架置入时机的研究进展[J].心血管病学进展,2024,(5):429.[doi:10.16806/j.cnki.issn.1004-3934.2024.05.011]
 SU Lifang,WANG Yanbo,LIU Changchang,et al.The Timing of Stent Implantation for Acute ST S egment Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2024,(11):429.[doi:10.16806/j.cnki.issn.1004-3934.2024.05.011]
[7]谭晓丽 范子胤 谢根源 刘向阳 欧阳繁.替奈普酶在急性ST段抬高型心肌梗死患者中研究的现状与进展[J].心血管病学进展,2024,(9):834.[doi:10.16806/j.cnki.issn.1004-3934.2024.09.015]
 TAN Xiaoli,FAN Ziyin,XIE Genyuan,et al.Current Status and Progress of Study of Tenecteplase in Patients with Acute ST S egment Elevation Myocardial Infarction[J].Advances in Cardiovascular Diseases,2024,(11):834.[doi:10.16806/j.cnki.issn.1004-3934.2024.09.015]

更新日期/Last Update: 2021-12-06