致命的心肌梗塞的复杂原因
1World Health Organization Cardiovascular Center and the Department of Medicine at the University of Texas Medical Branch, Galveston 77555-0129, USA.
Circulation
|October 7, 1997
概括
心肌梗塞的结果不仅取决于冠状动脉封闭. 许多因素,包括心脏病发作的大小,心脏病状况和神经问题,影响生存率,而不仅仅是动脉堵塞.
科学领域:
- 心脏病学 心脏病学
- 病理生理学 病理生理学
- 临床医学 临床医学
背景情况:
- 心肌梗塞 (MI) 通常仅归因于冠状动脉封闭.
- 大多数心脏病发作的病例并非致命,这表明其他因素也会影响结果.
- 对影响心脏病发作的临床过程和预后的各种因素给予了有限的关注.
研究的目的:
- 为了突出心肌梗塞预后的多因素性质.
- 扩大对冠状动脉阻塞作为死亡的唯一决定因素之外的理解.
- 强调影响心脏病发作后患者存活率的因素的复杂相互作用.
主要方法:
- 对心肌梗塞病理生理学和临床结果现有文献的综述.
- 分析影响MI预后的冠状动脉封闭以外的因素.
- 讨论亡,附带循环和并发性疾病的作用.
主要成果:
- 心脏病发作的结果受到心脏病发作区域,心脏状况 (过度缩小,感染) 和神经条件的影响.
- 亡在心脏病发作中起作用,并且可以独立发生.
- 矛盾的是,有效的附带循环可以被反疗法所损害.
结论:
- 心肌梗塞后患者的存活率由一系列复杂的因素决定.
- 冠状动脉封闭并不是心肌梗塞死亡率的唯一决定因素.
- 对这些因素的全面了解对于管理心脏病发作患者至关重要.
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