心肌梗死合并脑梗死的抗栓治疗策略进展  

Research progress on the antithrombotic therapy strategies of myocardial infarction complicating with cerebral infarction

作　　者：张文怡 江雪 王子雨 吴昊晟 鱼盼盼 郭彩霞 Wenyi Zhang;Xue Jiang;Ziyu Wang;Haosheng Wu;Panpan Yu;Caixia Guo(Cardiovascular Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院心血管中心,北京100730

出　　处：《中华脑血管病杂志(电子版)》2025年第1期58-62,共5页Chinese Journal of Cerebrovascular Diseases(Electronic Edition)

基　　金：北京市高层次公共卫生技术人才-领军人才项目(领军人才-03-02)。

摘　　要：心肌梗死以及缺血性脑卒中是全球范围内心血管疾病死亡的主要原因,目前其在我国的患病率和病死率持续上升。尽管发生率较低,但心肌梗死合并脑梗死病情复杂,临床治疗难度较大,给患者带来了更高风险。本文对心肌梗死合并脑梗死的流行病学、发生机制、治疗策略尤其是抗栓治疗策略的相关研究进行综述,并参考国内外指南及专家共识,旨在为临床心肌梗死合并脑梗死的处理提供参考。Myocardial infarction(MI)and ischemic stroke are leading causes of death from cardiovascular diseases globally.In China,the incidence and mortality rates of both conditions have been on the rise.Although the occurrence of MI complicated by cerebral infarction is relatively rare,it represents a complex clinical challenge,characterized by high treatment difficulty and significant risk to patients.This article reviews the epidemiology,pathogenesis,treatment strategies,especially antithrombotic treatment strategies of these conditions.It also references clinical guidelines and expert consensus to provide a rational management approach for patients presenting with simultaneous acute myocardial infarction and acute ischemic stroke in clinical practice.

关 键 词：心肌梗死 脑梗死 心脑梗死 抗栓治疗 

分 类 号：R743.33[医药卫生—神经病学与精神病学]