Progress in revascularization strategy of ST-segment elevation myocardial infarction with multiple vessel disease
10.11958/20170913
- VernacularTitle:急性ST段抬高型心肌梗死合并多支血管病变的血运重建策略进展
- Author:
xiang Yu DAI
1
;
ying Ju QIAN
Author Information
1. 复旦大学附属中山医院心内科
- Keywords:
myocardial infarction;
acute ST-segment elevation myocardial infarction;
multiple vascular disease;
revascularization;
infarction related artery
- From:
Tianjin Medical Journal
2017;45(11):1141-1144
- CountryChina
- Language:Chinese
-
Abstract:
ST-segment elevation myocardial infarction (STEMI) is the most serious type of coronary heart disease, accounting for 25%to 40%of acute myocardial infarction (AMI). The key to treat STEMI is to restore myocardial perfusion in the infarct area, to rescue the ischemic myocardium, and to reduce the size of infarction. About 41%to 67%of patients with STEMI have multiple vascular disease (MVD). Compared with single vessel disease, the clinical outcome of MVD is worse. In these patients, it still remains a controversial topic in emergency interventions for STEMI patients, the infarct-related artery only revascularization or multi-vessel revascularization, and the timing of revascularization. The clinical studies of revascularization strategy for MVD in STEMI patients have been ongoing, and the results have also led to the continuous updating of guidelines and treatment strategies.
