2017年ESC-STEMI更新要点解读课件.pptVIP

2017 ESC STEMI新指南更新要点解读;;2017 ESC STEMI 指南重要内容;FMC：The time point when the patient is either initially assessed by a physician, paramedic, nurse or other trained EMS personnel who can obtain and interpret the ECG, and deliver initial interventions (e.g. defibrillation). FMC can be either in the prehospital setting or upon patient arrival at the hospital (e.g. emergency department). 首次医疗接触（FMC）：定义为医生、护理人员、护士或其他训练有素的急救医疗系统（EMS）人员对患者进行心电图检查和解读，对患者进行评估并提供初步干预（如除颤）的时间点。 FMC可以在院前，也可以在患者到达医院时（如急诊科）。;FMC时尽快12导联ECG，最大延迟不超过10min;对初始治疗的推荐：缓解低氧血症和症状;初始诊断和治疗：始于首次医疗接触（FMC） 再灌注策略：定义“time 0”进行再灌注策略选择 PCI 操作