The myth of acute "mild" myocardial infarction.
The myth of acute "mild" myocardial infarction.
复制标题
急性“轻度”心肌梗塞的神话。
DOI：
10.7326/0003-4819-86-3-347
复制
发表时间：
1977
影响因子：
39.2
通讯作者：
R. Gorlin
中科院分区：
文献类型：
--
作者：
J. Madias;R. Gorlin
早期临床病程不复杂的急性心肌梗死患者通常被认为患有轻度心肌梗死。还有一种倾向是将提示非透壁性坏死的心电图改变与这种良性的临床病程联系起来。最近的研究证明，这些患者具有相同的短期和长期预后，相似的血管造影和血流动力学模式，并且应该得到与跨壁心肌梗死患者相同的治疗。希望通过将旧的诊断方法与新的诊断方法相结合，可以量化新旧心肌缺血坏死的程度，在很大程度上是预后的基础。
Patients with acute myocardial infarction and an uncomplicated early clinical course are often thought to have suffered a mild myocardial infarction. There is also a tendency to link ECG changes suggestive of nontransmural necrosis with such a benign clinical course. Recent work proves that such patients have the same short- and long-term prognosis, similar angiographic and hemodynamic patterns, and deserve management identical to that for patients with transmural myocardial infarction. It is hoped that by combining the older modalities with new diagnostic methods it will be possible to quantitate the magnitude of old and new myocardial ischemic necrosis on which prognosis to a great extent is based.