- VernacularTitle:STEMI合并多支血管病变的血运重建策略
- Author:
qi Guan ZHAO
1
;
tian Shu SHI
;
Xiao WANG
;
ping Shao NIE
Author Information
- Keywords: ST-segment elevation myocardial infarction; primary PCI; multivessel disease; non-infarct related vessel; revascularization
- From: Tianjin Medical Journal 2017;45(11):1135-1138
- CountryChina
- Language:Chinese
- Abstract: ST-segment elevation myocardial infarction (STEMI) in patients with multivessel disease is a common situation, and suggests poor prognosis. After the reperfusion of infarct-related blood vessels in the primary PCI (PPCI), how to deal with the non-infarct related vessel has been a hot issue. In recent years, more and more evidence suggests that compared with treatment of infarct-related vessels only, revascularization of non-infarct related vessels will result in a better prognosis. But the timing and the choice of non-infarct-related vessel revascularization are still controversial. This article reviews the latest clinical evidence to improve the diagnosis and treatment of STEMI patients with multivessel disease.