Primary angioplasty for acute myocardial infarction: the Zwolle approach.

F Zijlstra, M J de Boer
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Abstract

Timely restoration of antegrade coronary blood flow by primary angioplasty of the infarct-related vessel of a patient with an acute myocardial infarction results in myocardial salvage and improved survival. The main issues pertinent to the delivery of primary angioplasty therapy are discussed, and the 'Zwolle approach' is described with regard to the prehospital phase, the first 15 min in-hospital, pharmacological therapy, angiography and angioplasty, risk stratification, rehabilitation and secondary prevention.

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急性心肌梗死的初级血管成形术:Zwolle方法。
急性心肌梗死患者通过梗死相关血管的初级血管成形术及时恢复顺行冠状动脉血流可挽救心肌,提高生存率。本文讨论了与初级血管成形术治疗相关的主要问题,并对院前阶段、住院前15分钟、药物治疗、血管造影和血管成形术、风险分层、康复和二级预防等方面的“Zwolle方法”进行了描述。
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