st段抬高心肌梗死治疗指南-王建安.pptVIP

* * ACS results from a common pathophysiological mechanism, i.e. plaque rupture or erosion leading to activation of platelet functions, activation of the coagulation cascade and thrombus formation. There are two different clinical presentations: ACS with ST segment elevation, corresponding to a total occlusion of a major epicardial vessel; and ACS without ST segment elevation, usually corresponding to a partially or intermittently occlusive thrombus. The therapeutic approach is different for each of these clinical presentations. Immediate reperfusion is required in ACS with persistent ST segme