课件：冠心病程.ppt

缺血性心肌病型冠心病 治疗效果很差，需考虑血管再通手术或心脏移植术。注意室壁瘤和二尖瓣返流的治疗。 冠心病（Coronary Heart Disease） 猝死型冠心病 猝死：WHO：6小时；多数：1小时 心脏性猝死一半以上因冠心病所致 年龄多不太大，生前可无症状 病理检查：有AS病变，多数并无血栓 解释：AS+冠脉痉挛/微循环血栓 急性心肌缺血 局部电生理紊乱 致命性心律失常（心室颤动） 冠心病（Coronary Heart Disease） A: Aspirin, ACEI，（抗心肌缺血，抗血小板 ） B: β-Blocker, Blood pressure control C: Cholesterol lowing , Cigarette quitting D: Diabetes control, Diet E: Exercise, Education 冠心病二级预防的ABCDE原则 经皮穿刺腔内冠状动脉成形术（PTCA） 支架置入术 旋磨术 复习思考题 1、胸痛应如何鉴别诊断？ 2、心绞痛应如何诊断与分型？ 3、急性心肌梗死应如何诊断与分型？ 4、急性心肌梗死的处理原则有哪些？ 5、急性心肌梗死的处理措施。 6、溶栓治疗的指征、禁忌证和疗效判断。 7、冠心病的二级预防包括哪些？ 冠心病（Coronary Heart Disease） 后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 主要经营：网络软件设计、图文设计制作、发布广告等 公司秉着以优质的服务对待每一位客户，做到让客户满意！ 致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求 * * * * * Atherosclerosis is a complex disease. Atherosclerotic plaques can be subdivided in accordance with their age and state of development. It is the newly formed lesions with a large lipid core, thin capped, which are fragile and therefore likely to rupture and lead to an acute ischemic event. * Slide 3 Atherothrombosis: a Generalized and Progressive Process Atherothrombosis is the common underlying disease process for MI, ischemia and vascular death. ACS are classic examples of atherothrombosis (plaque rupture and thrombus formation). ACS (in common with ischemic stroke and critical leg ischemia) are typically caused by rupture or erosion of an atherosclerotic plaque followed by formation of a platelet-rich thrombus. Atherosclerosis is an ongoing process affecting mainly large and medium-sized arteries, which can begin in childhood and progress throughout a person’s lifetime. Stable atherosclerotic plaques may encroach on the lumen of the artery and cause chronic ischemia, resulting in (stable) angina pectoris or intermittent claudication, depending on the vascular bed affected. Unstable atherosclerotic plaques may rupture, leading to the formation of a platelet-rich thrombus that partially