心血管磁共振对STEMI患者直接PCI术后的预后评估

马敏; 贺勇

doi:10.13201/j.issn.1001-1439.2019.08.009

心血管磁共振对STEMI患者直接PCI术后的预后评估

马敏¹,
贺勇^2, ,

- 1 成都市第六人民医院心血管内科(成都, 610051);
- 2 四川大学华西医院心血管内科
基金项目:
四川省科技厅应用基础重点项目 (No:2017JY0026)

详细信息

通讯作者: 贺勇, E-mail:heyong_huaxi@163.com

中图分类号: R542.2

收稿日期: 2018-11-08

Prognostic value of cardiovascular magnetic resonance imaging in patients with STEMI after primary percutaneous coronary intervention

MA Min¹,
HE Yong^2, ,

- 1 Department of Cardiology, The Sixth People's Hospital of Chengdu, 610051, China;
- 2 Department of Cardiology, West China Hospital of Sichuan University

More Information

Corresponding author: HE Yong, E-mail: heyong_huaxi@163.com

Received Date: 08 November 2018

摘要

摘要: 急性ST段抬高型心肌梗死(STEMI)患者冠状动脉介入治疗(PCI)有近一半的患者会发生微循环功能障碍或阻塞,临床上称为“low-reflow”或“no-reflow”,均导致不良的临床预后。近年来心血管磁共振在评估心肌梗死的临床治疗策略和预防心肌梗死后不良左心室重构方面具有独特的优势。本文阐述心血管磁共振在STEMI行再灌注治疗中的临床应用及争议,并探讨其未来的应用前景。
- 心肌梗死 /
- 微血管阻塞 /
- 心肌内出血 /
- 心血管磁共振 /
- 冠状动脉介入 /
- 无复流
Abstract: Nearly half of the patients with primary percutaneous coronary intervention (PCI) may have microcirculation dysfunction or obstruction, clinically known to as "low-reflow" or "no-reflow", all of which are associated with poor clinical outcomes.In recent years, cardiovascular magnetic resonance (CMR) has a unique advantage in assessing the clinical treatment strategies for reducing infarct size and the prevention of adverse left ventricular remodeling after MI.In this article we describes the current clinical applications and controversies of CMR imaging in patients undergoing STEMI reperfusion therapy, and discusses its future application prospects.
- myocardial infarction /
- microvascular obstruction /
- intramyocardial haemorrhage /
- cardiovascular magnetic resonance imaging /
- percutaneous coronary intervention /
- no-reflow

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