Transcription of 對於 ST 段上升之急性心肌梗塞，緊急心導管手術 “一次搞定” …
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對於 ST 段上升之急性心肌梗塞，緊急心導管手術 “一次搞定” …
ST .. (culprit artery- ST (STEMI) only revascularization) . (30 . 3. 2012 ) (Figure 1) . 1. (2012 ESC Guideline) 2013 (multivessel (2013 ACCF/ AHA revascularization) . 2. Guideline) (repeat PCI) . (Primary PCI) (CABG) (Major Adverse (non-infarct or non-culprit arteries) (Class III Cardiovascular Events, MACE) (Figure 4. recommendations) 2) . Primary PCI non- infarct arteries . Preventive Angioplasty in Acute Myocardial Infarction 5. (PCI) (PRAMI) trial . (CABG) . (staged revascularization) PRAMI trial 2008 . Primary PCI 2013 465 . PCI CABG non-infarct acute STEMI . arteries (noninfarct arteries 50% 50% . ) infarct arteries Infarct artery-only 3,4. meta-analysis studies PCI ( noninfarct arteries ). Primary PCI non-infarct arteries Preventive PCI ( noninfarct 2 102 9 .. Figure 1. Odds ratios for 30-day mortality. arteries) (repeat revascularization procedures, PCI or CABG) 234 . Preventive PCI 231.
2 102年9月 只先處理發生事情的血管 對於st 段上升之急性心肌梗塞(stemi) 的病人，大約有五成是同時合併多條血管病 灶。然而不管是根據2012 年歐洲心臟學會的
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