[1]潘甜 马康华.急性心肌梗死经皮冠脉介入术后冠状动脉无复流的预防和治疗进展[J].心血管病学进展,2019,(5):730-734.[doi:10.16806/j.cnki.issn.1004-3932019.05.017]
 PAN Tian,MA Kanghua.Prevention and Treatment of Coronary Artery No-Reflow after Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2019,(5):730-734.[doi:10.16806/j.cnki.issn.1004-3932019.05.017]
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急性心肌梗死经皮冠脉介入术后冠状动脉无复流的预防和治疗进展()
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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:
730-734
栏目:
综述
出版日期:
2019-08-25

文章信息/Info

Title:
Prevention and Treatment of Coronary Artery No-Reflow after Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction
作者:
潘甜 马康华
(重庆医科大学附属第一医院心血管内科,重庆 400016)
Author(s):
PAN TianMA Kanghua
(Department of Cardiology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
关键词:
急性心肌梗死冠状动脉无复流经皮冠脉介入术危险因素预防治疗
Keywords:
Acute myocardial infarction Coronary artery no-reflow Percutaneous coronary intervention Risk factor Prevention Treatment
DOI:
10.16806/j.cnki.issn.1004-3932019.05.017
摘要:
冠状动脉无复流现象是ST段抬高型心肌梗死经皮冠状动脉介入术后的一种严重并发症,是发生不良预后的主要预测因子。它可导致梗死部位的不良愈合,不利于左室重构,增加包括充血性心力衰竭、死亡在内的主要不良心血管事件的发生风险。因此,为了实现经皮冠状动脉介入术冠状动脉靶血管的血流正常,必须提前预见可导致冠状动脉无复流发生的因素,并采取措施预防无复流的发生。现对无复流的预防和治疗进行讨论,并综述有关这种现象管理的最新发现。
Abstract:
Coronary artery no-reflow is a serious complication percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction and is the main predictor of poor prognosis. It can lead to poor healing of the infarct site, and it is harmful for left ventricular remodeling. Simultaneously, it increases the risk of major adverse cardiovascular events including congestive heart failure and cardiac death. Therefore, in order to achieve normal blood flow in the coronary artery of percutaneous coronary intervention, it is necessary to predict in advance the factors that can cause coronary artery no-reflow, and take measures to prevent the occurrence of no reflow. The prevention and treatment of no-reflow is now discussed and the latest findings are reviewed

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2019-02-21
更新日期/Last Update: 2019-12-24