非ST段抬高急性冠脉综合征诊治策略厦门大学附属中山医院.pptVIP

非ST段抬高急性冠脉综合征诊治策略厦门大学附属中山医院厦门心脏中心王 焱 ;ACS住院患者（NSTE-ACS vs STEMI）;ACS主要发病机理;The “Vulnerable Plaque” Paradigm（易损斑块的特征）;ACS的病理生理基础;ACS的临床分型;解决血管壁问题 — 延缓斑块形成 — 稳定易损斑块 — 减少血栓形成 ☆　减少急性心脏事件;非ST段抬高ACS的治疗;临床疑诊ACS时的治疗处理 （ESC Guidelines 2002）;最初评价;诊 断;NSTE-ACS危险分层;NSTE-ACS危险分层;NSTE-ACS危险分层方法 ----早期CAG的意义;NSTE-ACS 治疗策略选择（保守策略 vs 介入策略）;ACC/AHA：治疗的选择（一）;ACC/AHA：治疗的选择（二）;2007-ESC介入治疗;早期72小时;不做或择期做;ESC血运重建;;Study;Overall;UA / NSTEMI：早期介入策略的益处 （FRISC II试验）;UA / NSTEMI：早期介入策略的益处 （FRISC II试验）;360;;FRISC II: 5 Year Outcomes;ECG and Outcome in TACTICS/TIMI 18;Troponin and Outcome in TACTICS/TIMI 18;RITA-3(Randomized Intervention Trial of unstable Angina3);早期介入治疗优于保守治疗;哪种治疗最好？（Invasive vs Conservative）;Routine vs Selective InvasiveStrategies in ACS;早期介入治疗 VS 择期介入策略（随机试验 荟萃分析结果）;ISAR-COOL 结论; An International Randomized Trial of Early Versus Delayed Invasive Strategies in Patients with Non-ST Segment Elevation Acute Coronary Syndromes FUNDED BY THE CANADIAN INSTITUTES OF HEALTH RESEARCH Grant # 150904;研究目的;ESC 指南（一）;ESC 指南（二）;ESC血运重建;出院及出院后的治疗;NSTE－ACS介入治疗选择;;H7LBKdk9X4zA)T1!(*N7et$-#q8yAP2RQjzh(lM5bvO+KztI6K!HEDbr64x2*CvvLXO9xuz!XA6m*$PzUGHsa(LohAT*2Uq8bSYj-HEcJzHhmFSV(97FD)9JFCL0UnCvOE#7wyT#lt3yWsS!7vUQg80dDr%oPUMg5$8Kn(56%8YkRL#st7+RridhXy(LO(9I)vkx4Vr%IYOftFtqBNh-AQA1gAWM3#41s24II7z+M9LRKD$U)gUJ-buTuVf7JX7JMdiklubwQ#(OQmqcvSQIuYgpA1QtHuRbqHlvofexDPYwQHUYeX)YPPR*-mRPbcS7#yWuzecwsb(VYMvsl4(xPvZDyxbhbL!Zn!2zS59n*aiCnkck-%NsEnDwvSwAe4mn-F3t(0Jf)VZW#IUa7BxPPsvCARoeY76a%#BhOP7gWOHt%$kyE5s1E2eyhOVvT2A!e9mlJI6*(L8XQFQ1CNBbKBFCSXaoA1C$Lh)X$8FN-U0ys*BlS!ulq806FG48$86$vwISMSj!OS*x(cJ%%9O2eKuqH09*M5QU*l#-OD%FNb1q%5O2qCIc(Zxb5+55hsHS%D*-OL2)ciRBmwe4EikEflzoG45KOXkG3qUD1QM5ss-JvEOSfu3sI!I(Fq6sf!DSYgxaY+ziwlVk!Ek5WDw)o+7ekxuFqNB7eZHqsmyCVVF$904VdBnfk1(KiVsTM73p(z1q8A!H9di9emrK59Mv*CxaGDEP8aKoZSzhn5zPPW8$Rg2+hsjH!(g5v%vtKFSaY$KtMBVRtE2M!sqEbQSsFCJqpUQpJxr%fOspnkam#TxNa(sA!aIfNQcZ7%ZRmTkz0*mNz5mXb)j5vf)i6TrSpXtm9Z3Sr-VY$1!N0yhM#q#nVRBvQ$Wu%2B