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剧烈的心肌梗塞急性心肌梗塞
Eric Boersma1, Nestor Mercado, Don Poldermans
1Erasmus University Medical Center and Thoraxcenter, Department of Cardiology, Rotterdam, The Netherlands. h.boersma@erasmusmc.nl
Lancet (London, England)
|March 19, 2003
概括
急性心肌梗塞 (AMI) 管理已取得进展,改善了生存率. 对于所有高风险个体的广泛预防和及时急性治疗仍然存在关键挑战.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 急性心肌梗塞 (AMI) 是死亡率,发病率和医疗保健成本的一个重要原因.
- 冠状动脉样硬化是许多AMI病例的主要潜在因素.
- 对心肌梗塞的修订定义影响了流行病学和患者的观点.
研究的目的:
- 审查急性心肌梗塞管理的不断变化的格局.
- 突出治疗方法的进步及其影响.
- 确定预防和治疗的未来挑战.
主要方法:
- 综述了冠状动脉护理单位最近的进展.
- 随机临床试验对再输疗法 (临床和皮肤冠状动脉干预) 随机临床试验结果的分析.
- 慢性医学治疗和药理学药剂的评估.
主要成果:
- 治疗方法已经发生了重大变化,减少了医院死亡率.
- 由于先进的治疗方法,AMI幸存者的长期前景得到了改善.
- 新的治疗方法不断出现,提供进一步的治疗潜力.
结论:
- 对高风险个体有效实施预防策略至关重要.
- 将及时的急性治疗扩展到所有符合条件的患者是当前的一个重大挑战.
- 预计在治疗方面将继续进行创新,但重点也必须放在可访问性和预防上.
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