《非st段抬高性急性冠脉综征的pci策略研究》由会员分享，可在线阅读，更多相关《非st段抬高性急性冠脉综征的pci策略研究（34页珍藏版）》请在金锄头文库上搜索。
1、非ST断抬高性 急性冠脉综合的介入治疗RITA-3-resultsinterventionconservativeRR(95%CI)p n=895n=915 4-Month D/MI/Angina86(9.6%)133(14.5%)0.66(0.51-0.85) 0.0011-year D/MI68(7.6%)76(8.3%)0.91(0.67-1.25) 0.58Symptoms of angina were improved and use of antianginal medications reduced with the interventional strategy(p.40 负荷
2、试验非低危低危药物治疗反复缺血症状 心衰 严重心律失常EF.40早期介入策略早期保守策略ACS: 院内治疗UA/NSTEMI:血运重建术策略心导管术心导管术药物治疗药物治疗、 PCI PCI 或或 CABG CABG1 1 支或支或 2 2支病变支病变PCI PCI 或或 CABG CABG否CABGCABG心衰或糖尿病心衰或糖尿病CABGCABG是是查胸痛原因查胸痛原因无无3 3支或支或2 2支支( (伴伴LADLAD 近端近端) )病变病变冠心病冠心病有有左主干病变左主干病变是无无小结 早期介入策略优于早期保守策略 早期介入策略的意义在于通过冠脉 造影深化危险分层 早期介入策略使中危和高危
3、病人获 益THANK YOU!Early invasive vs. early conservative strategiesEarly invasive: early coronary arteriography followed by revascularization as indicated by arteriographic findingsEarly conservative: catheterization, and if indicated, revascularization, only in the event of failure of medical therapyUA & NSTEMIBenefit of Intervention7.68.39.614.5051015Patients (%)Conservative (n=915)Death/MIDeath/MI at 1 yearat 1 yearDeath/MI/RADeath/MI/RA at 4 monthsat 4 monthsP=0.001 RR 0.66 0.510.85P=NSRR, risk ratioIntervention (n=895)
