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对于临床医生来说
如何处理心肌梗死急性期或紧急冠脉血运重建过程中出现的复杂的室上性和室性心律失常(VAs)仍然是一个挑战
尽管过去几十年中这方面已经取得了重大的进展。对上述心律失常的处理也是救治院外心脏骤停(OHCA)和决策积极冠脉血运重建的关键。从急性心肌梗死(AMI)早期到恢复期的任何时间都可能发生VAs
例如室速(VT)和/或室颤(VF)。迅速血运重建和最佳药物治疗使得急性冠状动脉综合征(ACS)院内VAs的发生率下降
但心梗后心脏骤停和心脏猝死(SCD)的风险仍然增加
心梗最初
Jiachen Luo,Hongqiang Li,Xiaoming Qin,Baoxin Liu,Jinlong Zhao,Guli Maihe,Zhiqiang Li,Yidong Wei.Increased risk of ischemic stroke associated with new-onset atrial fibrillation complicating acute coronary syndrome: A systematic review and meta-analysis[J].International Journal of Cardiology,2018.
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Priori Silvia G.,Blomstr?m-Lundqvist Carina,Mazzanti Andrea,Blom Nico,Borggrefe Martin,Camm John,Elliott Perry Mark,Fitzsimons Donna,Hatala Robert,Hindricks Gerhard,Kirchhof Paulus,Kjeldsen Keld,Kuck Karl-Heinz,Hernandez-Madrid Antonio,Nikolaou Nikolaos,Norekv?l Tone M.,Spaulding Christian,Van Veldhuisen Dirk J..2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death[J].Europace,2015(11).
Reza Jabbari,Bjarke Risgaard,Emil L. Fosbøl,Thomas Scheike,Berit T. Philbert,Bo G. Winkel,Christine M. Albert,Charlotte Glinge,Kiril A. Ahtarovski,Stig Haunsø,Lars Køber,Erik Jørgensen,Frants Pedersen,Jacob Tfelt-Hansen,Thomas Engstrøm.Factors Associated With and Outcomes After Ventricular Fibrillation Before and During Primary Angioplasty in Patients With ST-Segment Elevation Myocardial Infarction[J].The American Journal of Cardiology,2015.
Marina M. Demidova,Jonas Carlson,David Erlinge,Pyotr G. Platonov.Predictors of Ventricular Fibrillation at Reperfusion in Patients With Acute ST-Elevation Myocardial Infarction Treated by Primary Percutaneous Coronary Intervention[J].The American Journal of Cardiology,2015.
Jonathan P. Piccini,Jennifer A. White,Rajendra H. Mehta,Yuliya Lokhnygina,Sana M. Al-Khatib,Pierluigi Tricoci,Charles V. Pollack,Gilles Montalescot,Frans Van de Werf,C. Michael Gibson,Robert P. Giugliano,Robert M. Califf,Robert A. Harrington,L. Kristin Newby.Sustained Ventricular Tachycardia and Ventricular Fibrillation Complicating Non–ST-Segment–Elevation Acute Coronary Syndromes[J].Circulation,2012(1).
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