Reperfusion strategy for patients with ST-segment elevation myocardial infarction in hospitals without PCI facility
- VernacularTitle:不具备PCI条件的医疗机构对STEMI患者再灌注治疗的处理策略
- Author:
Aihua CHEN
;
Xudong SONG
- Publication Type:Journal Article
- Keywords:
myocardial infarction;
myocardial reperfusion;
angioplasty, transluminal, percutaneous coronary
- From:
Medical Journal of Chinese People's Liberation Army
1983;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Thrombolysis is still an important treatment modality in patients with ST-segment elevation myocardial infarction (STEMI) in a hospital without percutaneous coronary intervention (PCI) facility. However, the optimal treatment after thrombolysis is still unclear. Conservative treatment after thrombolysis was recommended in the past. "Guidelines for percutaneous coronary intervention (2009)" also suggested that the condition of STEMI patients should be evaluated to determine whether the patient should be transferred to a hospital with PCI facility. But this suggestion lacksed evidence-based support. In recent years, several clinical trials suggested that immediate transfer to the nearest interventional centre for PCI was plausible regardless of success or failure in thrombolysis in local hospital, and this might reduce the incidence of cardiovascular events in patients with STEMI.
