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妊娠期急性ST段抬高性心肌梗死2016年更新版译评
罗素新,赵若寒,何小刚,谭婉莹,文益,杜新月,龙月华,罗明皓
0
(重庆医科大学附属第一医院心血管内科)
摘要:
急性ST段抬高性心肌梗死(STEMI)可发生于妊娠的任一孕期,虽然发生率低,但却对母胎造成严重的生命威胁。妊娠期STEMI因其发生时期特殊,在诊疗上的关注点及临床决策与一般人群的STEMI有所不同。本文探讨了妊娠期发生STEMI的病理生理学机制,并综合多学科临床指南,对妊娠期STEMI2016年更新版做一译评。
关键词:  经皮冠状动脉介入治疗(PCI)  妊娠期  急性ST段抬高性心肌梗死
DOI:
基金项目:国家临床重点专科建设项目(财社[2011]170号);国家重点基础研究发展计划(973计划,2014CB542400);国家自然科学基金(81270210);重庆市科委课题(cstc2015shmszx0064)
Translation and comments on the update of STelevation acute myocardial infarction during pregnancy
LUO Suxin,ZHAO Ruohan,HE Xiaogang,TAN Wanying,WEN Yi,DU Xinyue,LONG Yuehua,LUO Minghao
(Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China)
Abstract:
Acute myocardial infarction (AMI) during pregnancy or the early postpartum period is rare, but can be devastating for both the mother and the fetus. There have been major advances in the diagnosis and treatment of acute coronary syndromes in the general population, but there is little consensus on the approach to diagnosis and treatment of pregnant women. This article reviews the literature relating to the pathophysiology of AMI in pregnant patients and the challenges in diagnosis and treatment of STelevation myocardial infarction (STEMI) in this unique population. From a cardiologist, maternal–fetal medicine specialist, and anesthesiologist’s perspective, we provide recommendations for the diagnosis and management of STEMI occurring during pregnancy.
Key words:  PCI  Pregnancy  STEMI

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