缺血性心肌病的规范化血运重建策略  

The standardization reascularization strategy of ischemic cardiomyopathy

作　　者：胡锋[1] 陈婷[1] HU Feng;CHEN Ting(Department of Cardiology,First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,310003,China)

机构地区：[1]浙江大学医学院附属第一医院心内科,杭州310003

出　　处：《临床心血管病杂志》2018年第10期951-956,共6页Journal of Clinical Cardiology

基　　金：国家自然科学基金项目(No:81770435);心馨-默克心血管科学研究基金(No:2017-CCA-004)

摘　　要：缺血性心肌病(ICM)患者心功能较差,冠状动脉病变复杂,是血运重建风险的高危人群,其血运重建的合适时机及方式仍是富有挑战性的问题。积极控制心肌缺血,挽救存活心肌,建立规范化的血运重建策略,打破心肌缺血-心力衰竭恶性循环是治疗缺血性心力衰竭的关键步骤。此外,慢性疾病的综合管理和药物治疗、心力衰竭器械治疗的进步是改善其生存预后的重要因素。The patients with ischemic cardiomyopathy is high-risk groups of reascularization because of the poor heart function and the complex coronary artery pathological changes.The appropriate time and way of reascularization are still challenging problems.They are key steps in the treatment of ischemic heart failure.Integrated management of chronic diseases,the progress of medicine and cardiac apparatus are important factors to improve the prognosis.

关 键 词：缺血性心肌病 心力衰竭 血运重建 预后 

分 类 号：R541.4[医药卫生—心血管疾病]