心肌梗死的药物介入策略历史,现状与展望.ppt

溶栓后PCI获益 溶栓后PCI Meta-2011 30d 复合终点 溶栓后PCI Meta-2011 30d缺血终点 30d出血终点 30d死亡率 溶栓后PCI 应该如何进行? Background :Current ESC Guideline 尚待回答的问题 Is routine PCI after TT safe? (bleeding? Ischemia?)---ASSENT4 Are all lytic agent suitable for TT in this strategy? When is the suitable or optimal time of PCI after TT Pharmacoinvasive therapy for ST elevation myocardial infarction in China: a pilot study   2 with no lesions ≥50% diameter stenosis and 1 with unsuitable anatomy did not undergo PCI 35 had successful PCI but 2 failed 6 had TIMI 0-1 34 had TIMI 2-3 50 enrolled and accept