Acute coronary syndromes.
Acute coronary syndromes.
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DOI：
10.1201/b14443-74
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发表时间：
1997
期刊：
影响因子：
1.9
通讯作者：
Anthony Hilliard;S. Kopecky
中科院分区：
文献类型：
--
作者：
Anthony Hilliard;S. Kopecky
急性冠脉综合征定义为不稳定型心绞痛、非Q波心肌梗塞和Q波心肌梗塞。这些实体仍然是工业化国家最常见的危及生命的疾病之一。及时识别患有急性冠状动脉综合征的患者非常重要，因为适当的治疗可以显着改善患者的预后。 Q波心肌梗死患者的再灌注策略，以及不稳定型心绞痛或非Q波心肌梗死患者的抗凝和抗血小板治疗都是此类潜在挽救生命的干预措施的例子。对 Q 波心肌梗死患者进行再灌注治疗后，许多辅助药物干预措施也是有益的。近年来，Q 波心肌梗死后并发症的处理有了显着改善。尤其是梗死后缺血或心力衰竭的情况。持续性心律失常，特别是室性心律失常，仍然是临床医生面临的一个令人不安的挑战。再灌注治疗显着降低Q波心肌梗死后并发症的发生率。
Acute coronary syndromes are defined as unstable angina, non-Q-wave myocardial infarction, and Q-wave myocardial infarction. These entities remain among the commonest life-threatening illnesses in industrialized nations. Prompt recognition of a patient with an acute coronary syndrome is important since appropriate therapy can markedly improve the patient's prognosis. Reperfusion strategies for patients with Q-wave myocardial infarction, and anticoagulation and antiplatelet therapy for patients with unstable angina or non-Q-wave myocardial infarction are examples of such potentially life-saving interventions. A number of adjunctive pharmacological interventions are also beneficial following reperfusion therapy in patients with Q-wave myocardial infarction. Management of Complications following Q-wave myocardial infarction has improved markedly in recent years. This is particularly the case with postinfarction ischemia or heart failure. Persistent arrhythmias, and in particular ventricular arrhythmias, remain a troubling challenge for the clinician. Reperfusion therapy markedly reduces the incidence of complications following Q-wave myocardial infarction.