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首页> 外文期刊>Progress in Cardiovascular Diseases >Reperfusion in acute myocardial infarction: Current concepts.
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Reperfusion in acute myocardial infarction: Current concepts.

机译:急性心肌梗死的再灌注:当前概念。

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摘要

Myocardial reperfusion is the treatment of choice in acute myocardial infarction. Pharmacological thrombolysis restores coronary artery patency in about two thirds of patients with acute myocardial infarction. However, mechanical reperfusion with primary angioplasty and stenting achieves higher patency rates with less complications, especially in high-risk patients. Adjunctive pharmacotherapy and new device technology may improve the outcome of primary angioplasty. Facilitated angioplasty using a combination of half-dose thrombolysis, platelet glycoprotein IIb/IIIa antagonists, and early intervention, appears to be a promising strategy for the treatment of acute myocardial infarction in the modern era. The efficacy and safety of this approach are currently evaluated in several ongoing trials.
机译:心肌再灌注是急性心肌梗塞的首选治疗方法。药理溶栓可以使约三分之二的急性心肌梗死患者恢复冠状动脉通畅。但是,机械性再灌注结合原发性血管成形术和支架置入术可实现更高的通畅率,并发症更少,尤其是在高危患者中。辅助药物治疗和新设备技术可能会改善原发性血管成形术的结果。半剂量溶栓,血小板糖蛋白IIb / IIIa拮抗剂和早期干预相结合的促进血管成形术,似乎是现代治疗急性心肌梗塞的有前途的策略。该方法的有效性和安全性目前正在数项正在进行的试验中进行评估。

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