[2019 Chinese Society of Cardiology (CSC) guidelines for the diagnosis and management of patients with ST-segment elevation myocardial infarction]
- PMID: 31648459
- DOI: 10.3760/cma.j.issn.0253-3758.2019.10.003
[2019 Chinese Society of Cardiology (CSC) guidelines for the diagnosis and management of patients with ST-segment elevation myocardial infarction]
Abstract
急性ST段抬高型心肌梗死(STEMI)是冠心病的严重类型,为致死致残的主要原因。该指南复习了相关资料和研究进展,结合我国具体情况,对2015年"急性STEMI诊断和治疗指南"作一更新,以期提高我国STEMI的诊断和治疗水平。指南从诊断和危险分层、缺血风险和出血风险评估、再灌注治疗、住院治疗、临床评估、预后判断及长期治疗等方面进行了详细阐述。强调STEMI患者的全程管理从首次医疗接触开始,应最大限度地提高再灌注效率,建议进行缺血和出血风险评估,规范药物治疗。出院后应积极控制心血管危险因素,进行科学合理的二级预防和以运动为主的心脏康复治疗,改善患者的生活质量和远期预后。.
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