急性心肌梗死的溶栓和急診pci-英文

1、.hrombolytic Therapy and PCI Southwest HospitalSouthwest Hospital何國祥何國祥第三軍醫(yī)大學(xué)西南醫(yī)院第三軍醫(yī)大學(xué)西南醫(yī)院重慶市介入心臟病學(xué)研究所重慶市介入心臟病學(xué)研究所Dept. of Cardiology, Southwest HospitalThe Thrid Military Medical UniversityChongqing Institute of Interventional Cardiology. Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8.

2、Facilitated PCI. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8. Facilitated PCI. Southwest HospitalSouthwest Hospital . Southwest Ho

3、spitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest HospitalSTE

4、MISTEMI的直接的直接PCI:PCI:影響近遠(yuǎn)期預(yù)后的因素影響近遠(yuǎn)期預(yù)后的因素. Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8. Facilitated PCI. Southwest HospitalSouthwest Hospital. Southwest HospitalSouthwest Hospital. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest

5、 Hospital . Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8. Facilitated PCI Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest Hospital

6、Southwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital. Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8. Facilitated PCI. Southwest

7、 HospitalSouthwest Hospital. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8. Facilitated PCI. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital .

8、Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital Immediate transfer for PCI did not improve the primary outcome significantly, but reduced the rate of death, reinfarction,or stroke at 12 months in patients with STEMI, treated with thrombolysis and clopidogrel in areas with

9、 longtransfer distances. (Norwegian Study on District Treatment of ST-Elevation Myocardial Infarction.J Am Coll Cardiol 2010;55:10210. Southwest HospitalSouthwest Hospital Lancet 2004; 364: 104553. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthw

10、est Hospital ConclusionsIn patients with STEMI, early post-thrombolysis catheterisation and appropriate intervention is safeand might be preferable to a conservative strategy since it reduces the need for unplanned in-hospitalrevascularisation, and improves 1-year clinical outcome. Southwest Hospita

11、lSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital Conclusions Early elective PCI within 48 hours of successfulthrombolytic therapy for AMI appeared safe and more beneficial c

12、ompared with PCIperformed later. Am J Cardiol 2009;103:13331338. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital ConclusionsThe mortality benefit of immediate referral to PCI after pharmacologic

13、al treatment for STEMIderives from a reduction in the time to reperfusion of patients with failed thrombolysis in need of rescue PCI.In patients with evidence of successful reperfusion, “elective” PCI within 3 days may be sufficient to reduce the recurrent ischemic events. Southwest HospitalSouthwes

14、t Hospital . Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8. Facilitated PCI. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest Hospit

15、alSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital PCI vs Fibrinolysis8.Facilitated PCI. Southwest HospitalSouthwest Hospital. Southwest HospitalSouthwest Hospital. Southwest HospitalSouthwest Hospital Lancet 2006; 367: 56978. Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital . Southwest HospitalSouthwest Hospital. Southwest HospitalSouthwest Hospital. Southwest Hospit