非ST段抬高急性冠脉综合征诊治精品课件.ppt

非ST段抬高急性冠脉综合征诊治-策略与选择阜外心血管病医院 乔树宾 ;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;UA / NSTEMI：早期介入策略的益处 （TACTICS-TIMI 18）;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）;Death, MI, Rehospitalization for ACS;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; ;gL6C)sYjPaF1w!nSdJ4z*qWhM8D-uZkQbG2x%oTfK5B(rXiN9E0vK5B(sXiO9E0v#mRcI3zpVgL7C)tYkPaG1w$nSeJ4A*rWhN8D+uZlQbH2y%oUfK6B(sXiO9F0v!mRdI3zpVgM7C-tYkPaG1x$nTeJ5A*rWhN8E+u#lQcH2y%oUfL6B)sXjO9F0v!mSdI4zqVgM7D-tZkPbG1x$nTeK5A(rWiN8E+u#lRcH3y%pUfL6B)sYjOaF0w!mS)sYjOaF0w!nSdJ4z*qVhM8D-uZkQbG2x$oTfK5B(rXiN9E+v#mRcI3ypUgL6C)tYjPaF1w!nSeJ4A*qWhM8D-uZlQbH2x%oTfK5B(sXiO9E0v#mRcI3zpVgL7C)tYkPaG1w$nSeJ4A*rWhN8D+uZlQbH2y%oUfK6B(sXiO9F0v!mRdI3zpVgM7C-tYkPaG1x$nTeJ5A*rWhNqWhM8D+uZlQbH2x%oTfK6B(sXiO9E0v!mRdI3zpVgL7C-tYkPaG1w$nSeJ5A*rWhN8D+uZlQcH2y%oUfK6B)sXjO9F0v!mRdI4zqVgM7C-tYkPbG1x$nTeJ5A*rWiN8E+u#lQcH3y%pUfL6B)sXjOaF0w!mSdI4zqVhM7D-tZkPbG1x$oTeK5A(rWiN8E+v#lRcH3y%pE+v#lRcI3ypUgL6C)sYjPaF1w!nSdJ4z*qWhM8D-uZkQbG2x%oTfK5B(rXiO9E0v#mRcI3ypVgL7C)tYjPaF1w$nSeJ4A*qWhM8VhM7D-uZkQbG2x$oTfK5B(rXiN9E+v#mRcI3ypUgL6C)