Periprocedural myocardial injury during elective percutaneous coronary intervention: is it important and how can it be prevented?

被引:64
作者
Cuculi, F. [1 ]
Lim, C. C. S. [1 ]
Banning, A. P. [1 ]
机构
[1] Oxford Radcliffe Hosp, Dept Cardiol, Oxford, England
关键词
CREATINE-KINASE-MB; INTRACORONARY BETA-BLOCKER; STATIN THERAPY; UNFRACTIONATED HEPARIN; UNIVERSAL DEFINITION; RANDOMIZED-TRIAL; CLINICAL-TRIAL; TROPONIN-T; CLOPIDOGREL PRETREATMENT; ANTIPLATELET THERAPY;
D O I
10.1136/hrt.2009.186189
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Periprocedural myocardial injury (PMI) is common after percutaneous coronary intervention (PCI). Periprocedural infarction (myocardial infarction type 4a) occurs after at least 10% of PCI procedures and has an impact on long-term prognosis. Measurement of biomarkers to allow assessment of PMI is an important tool for clinical and research purposes and should be routine after every PCI (troponin I or T and CK-MB). The importance of oral and intravenous antiplatelet agents and other drugs which have been proven to reduce PMI is discussed.
引用
收藏
页码:736 / 740
页数:5
相关论文
共 66 条
[61]   Effect of Two-Day Atorvastatin Pretreatment on the Incidence of Periprocedural Myocardial Infarction Following Elective Percutaneous Coronary Intervention: A Single-Center, Prospective, and Randomized Study [J].
Veselka, Josef ;
Zemanek, David ;
Hajek, Petr ;
Maly, Martin ;
Adlova, Radka ;
Martinkovicova, Lucie ;
Tesar, David .
AMERICAN JOURNAL OF CARDIOLOGY, 2009, 104 (05) :630-633
[62]   Ticagrelor versus Clopidogrel in Patients with Acute Coronary Syndromes [J].
Wallentin, Lars ;
Becker, Richard C. ;
Budaj, Andrzej ;
Cannon, Christopher P. ;
Emanuelsson, Hakan ;
Held, Claes ;
Horrow, Jay ;
Husted, Steen ;
James, Stefan ;
Katus, Hugo ;
Mahaffey, Kenneth W. ;
Scirica, Benjamin M. ;
Skene, Allan ;
Steg, Philippe Gabriel ;
Storey, Robert F. ;
Harrington, Robert A. .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (11) :1045-1057
[63]   Distal myocardial protection during percutaneous coronary intervention with an intracoronary β-blocker [J].
Wang, FW ;
Osman, A ;
Otero, J ;
Stouffer, GA ;
Waxman, S ;
Afzal, A ;
Anzuini, A ;
Uretsky, BF .
CIRCULATION, 2003, 107 (23) :2914-2919
[64]   Clopidogrel pre-treatment in stable angina:: for all patients >6 h before elective coronary angiography or only for angiographically selected patients a few minutes before PCI?: A randomized multicentre trial PRAGUE-8 [J].
Widimsky, Petr ;
Motovska, Zuzana ;
Simek, Stanislav ;
Kala, Petr ;
Pudil, Radek ;
Holm, Frantisek ;
Petr, Robert ;
Bilkova, Dana ;
Skalicka, Hana ;
Kuchynka, Petr ;
Poloczek, Martin ;
Miklik, Roman ;
Maly, Marek ;
Aschermann, Michael .
EUROPEAN HEART JOURNAL, 2008, 29 (12) :1495-1503
[65]   Prasugrel versus clopidogrel in patients with acute coronary syndromes [J].
Wiviott, Stephen D. ;
Braunwald, Eugene ;
McCabe, Carolyn H. ;
Montalescot, Gilles ;
Ruzyllo, Witold ;
Gottlieb, Shmuel ;
Neumann, Franz-Joseph ;
Ardissino, Diego ;
De Servi, Stefano ;
Murphy, Sabina A. ;
Riesmeyer, Jeffrey ;
Weerakkody, Govinda ;
Gibson, C. Michael ;
Antman, Elliott M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (20) :2001-2015
[66]  
1997, LANCET, V349, P1422