ST抬高心肌梗死溶栓与抗栓治疗2009进展ppt课件.pptVIP

AHA/ACC 2007 ESC 2008 Guideline： for TT-PCI Low bleeding risk and high risk score STEMI patient，TT-PCI perform in no cathlab usable。（Class Ⅱb） 2009：CAPTIM new F-U data STEMI randomlization primary PCI (n=421) rt-PA TT-PCI (n=419) 5000 U IV haprin+250-500mg ASA First endpoint：5-year mortality Bonnefoy E et al, European Heart Journal 2009. CAPTIM:TT-PCI reduce the 5-year mortality Bonnefoy E et al, European Heart Journal 2009. Onset 6 hours，P=0.18 HR 0.75 (95% CI,0.50-1.14) RR 25% Onset 2hours，p=0.04 HR 0.50(95% CI,0.25-0.97) Bonnefoy E et al, European Heart Journal 2009. RR 50% CAPTIM:TT