不断优化 AMI 再灌注治疗
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Transcript of 不断优化 AMI 再灌注治疗
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AMI
2012. 6. 2
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---
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24
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(1)Chest pain center CPC
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(2)ACSSTEMIIRAAAD4850%
PTE
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(3)30002002.1024 0531-82169595
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---24
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AMIPCI+PCI(1)PCISTSTEMIAMI
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AMIPCI+PCI(2)PCITIMI380%
PCIIRA
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--
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120
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ECG6h
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(1)
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(2)10%-30%
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---
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ST ST CK CK CKCK Q Q Q / Q ST ST
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(vulnerable patient)--: (vulnerable plaque): (vulnerable blood): (vulnerable myocardium):
Naghavi M et al. Circulation,2003;108:1664
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ST (ST ST) (VF, VT)
STT, ECG
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ECG STGPIIb/IIIa -(ACS)
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---
PCI
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PCI2008ACCTransfer --AMISTEMIPCIPCIMACEPCI
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2010STEMI2PCIPCIPCI3-24PCI
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CAPTIM Bonnefoy, E., F. Lapostolle, A. Leizorovicz, et al., Lancet, 2002. 360(9336): p. 825-9.Bonnefoy, E., et al., (CAPTIM) trial: a 5-year follow-up. Eur Heart J, 2009. 30(13): p. 1598-606.STEMI(N=840)PCI(n=419)PCI(n=421)
30 -- 5
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%+PCI 30 +PCI5(5.8% vs 11.1% ,P=0.04) p=0.06p=0.12p=0.13p=0.29p=0.61** --Bonnefoy, E., F. Lapostolle, A. Leizorovicz, et al., Lancet, 2002. 360(9336): p. 825-9.
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PCIPCI/
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PCI
PCI1999PACTPCIPCI
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GPb /aPCI
ADMIRALPCIn=300PCITIMI 3P=0.0130)P=0.01
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/GPb/aPCI2008 ACCON-TIME 2STEMIPCI1STR30MACE PCI
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AMIAMI(1)
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AMIAMI(2)24
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--
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*CAPTIM PCIPCISTEMIPCIPCI30-- 5*30--