患者背景 ステント血栓症 - cvit.jp

1 J-PCI 2014 1 6 1 1 1 1 1 2 1 New Onset Angina 1 Increasing Angina 1 Resting Angina 1 1 ST STEMI NSTEMI 3 CK CK MB 2 99 STEMI NSTEMI 1 ST STEMI 12 2 ST J mV mV 2 ST NSTEMI ST 4 Academic Research Consortium ARC Definite ARC 1 5 mm 48 1 2 1 1 1 1 Q 2 1

2 2 1 MRI 1 2 24 PCI 24 asystole VF pulseless VT 3 24 J-PCI 2014 1 6 2 PCI 24 <80mmHg and/or < l/min/m2 >80mmHg > l/min/m^2 IABP 4 24 PCI 24 NYHA IV X 1 126 mg dl 200 mg dl HbA1c 75 g OGTT 2 200 mg dl 2009 1 SBP 140 mmHg DBP 90 mmHg 2012 1 TC 220 mg dl LDL 140 mg dl HDL 40 mg dl TG 150 mg dl 1 CKD 2009 1 S Cr mg dl eGFR 60 ml min m2

3 EGFR 194 Age Cre COPD 1 70 AAA/PAD 50% ABI <= AHA 75 50 90 75 AHA PCI PCI PCI PCI J-PCI 2014 1 6 3 PCI 30 PCI Q Q Universal Definition of Myocardial Infarction PCI MI cTn 5 PCI * 90 mmHg 60 mmHg PCI 30 ARC definite PCI PCI 25 TIMI 3 flow 2014 1 PCI