心肌存活率——缺血性心脏病患者治疗方案中的一个重要决策因素

Q4 Medicine Acta Medica Bulgarica Pub Date : 2022-06-01 DOI:10.2478/amb-2022-0022
V. Grigorov, M. Grigorov, E. Grigorov, H. Nocheva
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引用次数: 0

摘要

摘要缺血性心脏病(IHD)影响着全球超过1.1亿人,是心力衰竭患病率以及相关死亡率和发病率上升的重要原因。尽管有现代治疗方法,但多达三分之一的急性心肌梗死患者会发展为心力衰竭。IHD是心肌的一种病理状态,由给定时刻的氧需求和实际灌注之间的不平衡引起。这种疾病的急性和慢性形式可能会导致心肌的广泛和永久性损伤。从临床角度来看,确定心肌仍然存活的程度对治疗方案至关重要——因为缺血是根本原因,那么血运重建应该能提供更好的预后。已经描述了评估心肌活力的不同方法——每种方法都比其他方法有一些优势,同时在某些方面也较差。该综述对可用于确定心肌活力的方法提供了相对全面的概述。
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Myocardial Viability – An Important Decision Making Factor in the Treatment Protocol for Patients with Ischemic Heart Disease
Abstract Ischemic heart disease (IHD) affects > 110 million individuals worldwide and represents an important contributor to the rise in the prevalence of heart failure and the associated mortality and morbidity. Despite modern therapies, up to one-third of patients with acute myocardial infarction would develop heart failure. IHD is a pathologic condition of the myocardium resulting from the imbalance in a given moment between its oxygen demands and the actual perfusion. Acute and chronic forms of the disease may potentially lead to extensive and permanent damage of the cardiac muscle. From a clinical point of view, determination of the still viable extent of myocardium is crucial for the therapeutic protocol – since ischemia is the underlying cause, then revascularization should provide for a better prognosis. Different methods for evaluation of myocardial viability have been described – each one presenting some advantages over the others, being, in the same time, inferior in some respects. The review offers a relatively comprehensive overview of methods available for determining myocardial viability.
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来源期刊
Acta Medica Bulgarica
Acta Medica Bulgarica Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
33
审稿时长
25 weeks
期刊介绍: About 30 years ago - in 1973, on the initiative of the Publishing House „Medicine and Physical Culture", namely its former director Mr. Traian Ivanov, the Ministry of Health set up and accepted to subsidize a new medical magazine that was to be published only in the English language and had to reflect the status and the achievements of the Bulgarian medical science. Thus the language barrier was overcome and stable relations were established with the international medical society, large libraries, and university centers. The famous internationally known scientist professor Assen A. Hadjiolov was elected edition-in-chief by the first editorial staff and the magazine was named Acta Medica Bulgarica.
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