Heart failure post-myocardial infarction: a review of the issues
Heart failure post-myocardial infarction: a review of the issues
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DOI：
10.1136/hrt.2005.062018
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发表时间：
2005-05-01
期刊：
影响因子：
5.7
通讯作者：
Dargie, H
中科院分区：
文献类型：
--
作者：
Dargie, H
在大多数因左心室收缩功能障碍而导致心力衰竭的患者中，潜在原因是冠心病。为了减少急性心肌梗死患者进展为心力衰竭，重要的是尽可能早地实现再灌注，无论是通过溶栓还是直接经皮冠状动脉介入治疗。每例急性心肌梗死患者都应评估其左心室功能，应考虑可逆性的可能性，并应确定可逆性缺血。左心室功能不全不仅发生于ST段抬高型心肌梗死，而且通常与非ST段抬高型心肌梗死相关。二级预防至关重要，这需要患者和卫生保健系统的长期承诺。心力衰竭和左心室功能障碍是可以治疗的，但需要多学科的综合网络方法。
In most patients with heart failure due to left ventricular systolic dysfunction, the underlying cause is coronary heart disease. To reduce progression to heart failure in a patient with acute myocardial infarction, it is important to achieve the earliest possible reperfusion, whether by thrombolysis or primary percutaneous coronary intervention. Every patient with acute myocardial infarction should have an assessment of their left ventricular function, the potential for reversibility should be considered, and reversible ischaemia should be identified. Left ventricular dysfunction does not only occur with ST segment elevation myocardial infarction but is also commonly associated with non-ST segment elevation myocardial infarction. Secondary prevention is crucial and this requires long term commitment by the patient and the health care system. Heart failure and left ventricular dysfunction are treatable but require a multidisciplinary, integrated network approach.