[1]随永刚 吴永健.80岁以上高龄急性心肌梗死患者研究进展[J].心血管病学进展,2020,(4):342-345.[doi:10.16806/j.cnki.issn.1004-3934.2020.04.003]
 SUI Yonggang,WU Yongjian.Elderly Patients Aged80 Years Old with Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2020,(4):342-345.[doi:10.16806/j.cnki.issn.1004-3934.2020.04.003]
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80岁以上高龄急性心肌梗死患者研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年4期
页码:
342-345
栏目:
综述
出版日期:
2020-04-25

文章信息/Info

Title:
Elderly Patients Aged80 Years Old with Acute Myocardial Infarction
作者:
随永刚 吴永健
(中国医学科学院,北京协和医学院,国家心血管病中心,阜外医院冠心病中心,北京 100037)
Author(s):
SUI Yonggang WU Yongjian
(Department of Cardiology, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing 100037 , China)
关键词:
急性心肌梗死高龄患者治疗现状
Keywords:
Acute myocardial infarctionAdvance-aged patientsTreatment status
DOI:
10.16806/j.cnki.issn.1004-3934.2020.04.003
摘要:
急性心肌梗死(acute myocardial infarction,AMI)是老年人病死率高的主要病因之一。药物溶栓和介入治疗是临床上常规使用的治疗手段,能显著降低患者的病死率,改善预后。然而,高龄心肌梗死患者在临床上常并发多种疾病,出血风险较高,不论是药物溶栓还是介入治疗都有一定的禁忌和风险。针对高龄AMI患者的再灌注治疗仍缺少广泛的大规模数据支持,使患者预后更有益的治疗手段存在争议。因此,本文回顾了80岁以上ST段抬高性心肌梗死以及非ST段抬高性心肌梗死患者的国内外研究现状,比较了介入治疗与药物溶栓的治疗方法,旨在为高龄AMI患者的临床选择提供参考的依据。
Abstract:
Acute myocardial infarction (AMI) is one of the main causes of high mortality in the elderly. In clinical practice, drug thrombolysis and interventional therapy are common used, which can significantly reduce the mortality rate and improve the prognosis of patients. However, advance-aged patients with myocardial infarction often have multiple diseases in clinical practice, and the high risk of bleeding. There are certain contraindications and risks in both drug thrombolysis and interventional therapy. There is still a lack of extensive large-scale data support for reperfusion therapy in the elderly patients with AMI. It is controversial that which treatment of patients is more beneficial to the prognosis of patients aged≥80 years old. Therefore, the article reviews the current researches on ST-segment elevation myocardial infarction and Non-ST-segment elevation myocardial infarction patients over 80 years old, compares the treatment of interventional therapy and drug thrombolysis, which aims to provide a references for clinical selection of advance-aged patients with AMI.

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备注/Memo

备注/Memo:

通讯作者:吴永健,E-mail: wuyongjianwork@163.com
收稿日期:2019-10-30

更新日期/Last Update: 2020-07-28