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Eur Heart J：欧洲ST段抬高型心肌梗死再灌注治疗和住院结局

2021-08-15 MedSci原创 MedSci原创

ST段抬高型心肌梗死再灌注治疗住院结局
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在ESC成员国和附属国家中，STEMI再灌注治疗率很高。直接PCI是最常用的治疗方法，相关的总住院死亡率低于5%。然而，直接PCI的使用情况存在地域差异，这与院内死亡率的差异相关。

近日，心血管领域权威杂志Eur Heart J上发表了一篇研究文章，该研究的目的是明确欧洲心脏病学会(ESC)成员国和附属国家对再灌注治疗的使用情况，以及了解ST段抬高型心肌梗死(STEMI)患者处理遵循ESC临床实践指南的情况。 前瞻性队列（欧洲观察性研究计划STEMI登记）是由29个国家的196个中心救治的症状发作<24h的住院STEMI患者。 该研究共纳入了11462名患者，他们接受了经皮冠状动脉介入治疗(PCI)（占总队列的发生频率为72.2%，占国家发生频率范围为0-100%）、纤溶（18.8%；0-100%）和未接受再灌注治疗(9.0%；0-75%)。相应的院内任何原因死亡率分别为3.1%、4.4%和14.1%，总死亡率为4.4%（国家范围为2.5-5.9%）。 据报道，所有发病时间<12h的STEMI患者再灌注治疗达到92.7%（范围为84.8-97.5%），及时再灌注达到54.4%（范围为37.1-70.1%）。 由此可见，在ESC成员国和附属国家中，STEMI再灌注治疗率很高。直接PCI是最常用的治疗方法，相关的总住院死亡率低于5%。然而，直接P

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    2021-08-17 ms9474365431325850

    #欧洲#

    0

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    2021-08-17 zhaojie88

    #ART#

    0

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    2021-08-17 gdsun

    #ST段抬高#

    0

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    2021-08-17 xjy05

    #再灌注治疗#

    0

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    2021-08-17 slcumt

    #HEART#

    0

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    2021-08-17 hyf035

    #ST段#

    0

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    2021-08-15 tanxingdoctor

    学习了，谢谢

    0

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