急性心肌梗死的处理措施及冠心病的二级预防_培训课件.pptVIP

Takotsubo Cardiomyopathy:一种临床综合征 急性起病 一过性, 可逆的左室心尖部运动异常 急性心梗表现: 症状, ECG, 心肌酶 CAG无狭窄性病变,部分患者存在或可诱发冠脉痉挛 心室造影：心尖运动异常，心室内压力阶差 * Greatest emphasis is to be placed on the delivery of reperfusion therapy to the individual patient as rapidly as possible. EMS: emergency medical services,D2N:door to needle * * DIDO:door-in-door-out * The D2B time interval includes 3 key components: door-to-ECG time, ECG–to–catheterization laboratory time, and laboratory arrival–to–device time * PCI：死亡和再梗率低于溶栓 * DIDO: door-in– door-out FMC: first medical contact * Streptokinase链激酶，Alteplase阿替普酶，reteplase瑞替普酶，Te