[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]
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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()
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《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

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更新日期/Last Update: 2021-12-06