Contemporary Management of ST-Elevation Myocardial Infarction

被引：5

作者：

Dind, Ashleigh ^{[1
]}

Allahwala, Usaid ^{[1
]}

Asrress, Kaleab N. ^{[1
]}

Jolly, Sanjit S. ^{[2
]}

Bhindi, Ravinay ^{[1
]}

机构：

[1] Royal North Shore Hosp, Dept Cardiol, Sydney, NSW, Australia

[2] McMaster Univ, Populat Hlth Res Inst, Hamilton Hlth Sci, Dept Med, Hamilton, ON, Canada

来源：

HEART LUNG AND CIRCULATION | 2017年 / 26卷 / 02期

关键词：

ST-Elevation Myocardial Infarction; P2Y(12) inhibitors; Thrombus aspiration; Non-culprit artery; PERCUTANEOUS CORONARY INTERVENTION; BARE-METAL STENTS; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; RANDOMIZED-TRIAL; PLATELET INHIBITION; THROMBUS ASPIRATION; CLINICAL-OUTCOMES; CARDIOGENIC-SHOCK; ELUTING STENT; DOUBLE-BLIND;

D O I：

10.1016/j.hlc.2016.07.009

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recent advances have caused a major shift in the way ST-elevation myocardial infarctions are managed. This review explores the pharmacological and interventional techniques that have evidence for improving outcomes and the landmark trials that have sparked change. The new P2Y(12) inhibitors, ticagrelor and prasugrel, have been shown to be superior to clopidogrel in STEMI patients undergoing primary percutaneous coronary intervention. Concurrently, many technical aspects of percutaneous coronary intervention have been further clarified by trial data, with bare-metal stents, routine thrombus aspiration and femoral access showing evidence of inferiority. Ongoing trials will provide more information on the role of non-culprit lesion PCI, bioresorbable vascular scaffolds, mechanical devices in persistent ischaemia and early automatic implantable cardioverter-defibrillators for inducible ventricular tachycardia.

引用

页码：114 / 121

页数：8

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