[1]李明 张慧平.急性ST段抬高心肌梗死患者直接经皮冠状动脉介入治疗后微血管功能障碍再认识[J].心血管病学进展,2023,(3):193.[doi:10.16806/j.cnki.issn.1004-3934.2023.03.001]
 LI Ming,ZHANG Huiping.Coronary Microvascular Dysfunction in Patients with Acute ST Segment?levation Myocardial Infarction After Primary Percutaneous Coronary Intervention[J].Advances in Cardiovascular Diseases,2023,(3):193.[doi:10.16806/j.cnki.issn.1004-3934.2023.03.001]
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急性ST段抬高心肌梗死患者直接经皮冠状动脉介入治疗后微血管功能障碍再认识()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年3期
页码:
193
栏目:
综述
出版日期:
2023-03-25

文章信息/Info

Title:
Coronary Microvascular Dysfunction in Patients with Acute ST Segment?levation Myocardial Infarction After Primary Percutaneous Coronary Intervention
作者:
李明 张慧平
(北京医院心血管内科 国家老年医学中心 中国医学科学院老年医学研究院,北京100730)
Author(s):
LI Ming ZHANG Huiping
Department of Cardiology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)
关键词:
冠状动脉急性ST段抬高心肌梗死直接经皮冠状动脉介入治疗微血管功能障碍
Keywords:
Coronary arteriesAcute ST segment elevation myocardial infarctionPrimary p ercutaneous coronary interventionMicrovascular dysfunction
DOI:
10.16806/j.cnki.issn.1004-3934.2023.03.001
摘要:
直接经皮冠状动脉介入治疗(PPCI)是急性ST段抬高心肌梗死的首选再灌注治疗策略。研究表明,急性ST段抬高心肌梗死患者在行PPCI后可能会出现冠状动脉微血管功能障碍,导致冠状动脉慢血流或无复流,与不良预后相关。现对急性ST段抬高心肌梗死患者接受PPCI后发生冠状动脉微血管功能障碍的病理生理机制、微血管功能状态评估及治疗策略进行综述。
Abstract:
Primary percutaneous coronary intervention(PPCI) is the preferred reperfusion strategy for acute ST segment elevation myocardial infarction(STEMI). Studies have shown that coronary microvascular dysfunction may occur in patients with STEMI after PPCI,resulting in slow-flow or no-reflow of coronary arteries,which is associated with poor prognosis. This article reviews the pathophysiology,assessment of microvascular functional status and treatment strategies for coronary microvascular dysfunction in patients with STEMI after PPCI.

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更新日期/Last Update: 2023-04-24