Primary Percutaneous Intervention in Acute Myocardial Infarction

来源 :2013百奥泰波兰重大疾病临床峰会 | 被引量 : 0次 | 上传用户:qwerasd1234
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  Morbidity and mortality rates following ST-elevation myocardial infarction have fallen substantially in the past few decades with improvements in medical care, particularly the widespread use of reperfusion techniques (fibrinolysis and primary percutaneous coronary intervention [PPCI]) and the adjunctive use of multiple medical therapies.On the basis of the data from several randomised studies, guidelines have supported the superiority of PPCI over fibrinolysis, if the door-to-balloon is completed in a timely fashion.However, in a significant proportion of patients undergoing PPCI, owing to a high thrombus burden, myocardial perfusion is not fully achieved in the epicardial vessel.
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