1、急性心肌梗死治疗指南指南制定者支持适应证建议的证据权重等级=证据来自多个随机临床试验。 =证据来自单个随机试验或非随机研究。=专家的一致观点。I IIa IIb III指南适应证建议分类指那些已证实有用、有益和有效的操作或治疗。指那些有关证据倾向于有用/有效。有关证据不能充分说明有用/有效。 指那些已证实无效并且在有些病例可能是有害的操作或治疗。指南内容 简介 入院前的任务 急诊诊断和治疗 住院治疗 药物治疗原理和方法 长期治疗缺血性心脏病 12,200,000 people in the US have had an MI, angina pectoris, or both 5,315,00
2、0 Americans visited Emergency Departments for chest pain in 1997 1,433,000 Americans hospitalized for IHD in 1996 1,100,000 Americans will have a new or repeat IHD event this year3.2 Million Hospital AdmissionsCoronary Atherosclerosis Acute Myocardial Infarction1,153,000 Admissions829,000 Admissions
3、Hospitalizations Due to Atherosclerotic DiseaseCerebrovascular Disease961,000 AdmissionsVascular DiseaseOther IschemicHeart Disease280,000 Admissions急性冠脉综合征无ST段抬高 ST段抬高不稳定心绞痛 NQMI Q波MI心肌梗死NSTEMI急性冠状动脉综合征概念Chronology of Atherosclerotic Vascular Disease ProcessDevelopment of atherosclerosis and vulnerable plaque Acute Coronary Syndrome Secondary PreventionIschemic Heart DiseaseCerebrovascular DiseasePeripheral Vascular Disease急性冠状动脉综合征机制