摘要
冠状动脉无复流现象是ST段抬高型心肌梗死经皮冠脉介入术后的一种严重并发症,是发生不良预后的主要预测因子。它可导致梗死部位的不良愈合,不利于左室重构,增加包括充血性心力衰竭、死亡在内的主要不良心血管事件的发生风险。为了实现经皮冠脉介入术冠状动脉靶血管的血流正常,必须提前预见可导致冠状动脉无复流发生的因素,并采取措施预防无复流的发生。现对无复流的预防和治疗进行讨论,并综述有关这种现象管理的最新发现。
Coronary artery no-reflow is a serious complication after percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction and is the main predictor of poor prognosis.It can lead to poor healing of the infarct site,and it is harmful for left ventricular remodeling.Simultaneously,it increases the risk of major adverse cardiovascular events including congestive heart failure and cardiac death.Therefore,in order to achieve normal blood flow in the coronary artery of percutaneous coronary intervention,it is necessary to predict in advance the factors that can cause coronary artery no-reflow,and take measures to prevent the occurrence of no-reflow.The prevention and treatment of no-reflow is now discussed and the latest findings are reviewed.
作者
潘甜
马康华
PAN Tian;MA Kanghua(Department of Cardiology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
出处
《心血管病学进展》
CAS
2019年第5期730-734,共5页
Advances in Cardiovascular Diseases
关键词
急性心肌梗死
冠状动脉无复流
经皮冠脉介入术
危险因素
预防
治疗
Acute myocardial infarction
Coronary artery no-reflow
Percutaneous coronary intervention
Risk factor
Prevention
Treatment
