| 非ST段抬高型急性冠状动脉综合征介入治疗的最佳时机 |
| |
| 引用本文： | 匡小虎,张抒扬. 非ST段抬高型急性冠状动脉综合征介入治疗的最佳时机[J]. 临床心血管病杂志, 2012, 0(1): 15-18 |
| |
| 作者姓名： | 匡小虎 张抒扬 |
| |
| 作者单位： | 中国医学科学院北京协和医学院;北京协和医院心内科 |
| |
| 摘 要： | 非ST段抬高型急性冠状动脉综合征(NSTEACS)中高危患者,早期介入和强化抗栓药物治疗是最佳选择,对于低危患者,早期介入或选择介入都可行。欧洲心脏病协会指南认为NSTEACS症状反复发作,并有高危因素,Grace风险评分>109分,推荐于发病72h内行介入治疗;Grace风险评分>140分,建议24h内行介入治疗;对并发难治性心绞痛、心力衰竭、恶性心律失常者建议发病2h内介入治疗。
|
| 关 键 词： | 冠状动脉综合征,急性 介入治疗 最佳时机 |
Best time for intervention in non ST segment elevation acute coronary syndrome |
| |
| Affiliation: | KUANG Xiaohu1 ZHNAG Shuyang2(1Chinese Academy of Medical Sciences & Peking Union Medical College,Peking,100730,China;2Department of Cardiology,Peking Union Medical College Hospital) |
| |
| Abstract: | High-risk patients with non-ST-segment elevation acute coronary syndrome(NSTEACS) are recommended to choose early intervention and strengthened antithrombotic drug therapy.While for low-risk patients,early or elective intervention are feasible.European Society of Cardiology guidelines suggested that if NSTEACS patients with recurrent symptoms,high risk factors and Grace risk score >109 points,intervention should be recommended within 72 h from the onset;if the grace risk score >140 points,the intervention should be recommended within 25 h from the onset;if NSTEACS patients complicated with refractory heart angina,heart failure,and malignant arrhythmia,the intervention is recommended within 2 h from the onset. |
| |
| Keywords: | coronary syndrome,acute intervention best time |
| 本文献已被 CNKI 等数据库收录！ |
|
