Tom 12, Nr 4 (2017)
UCZYMY SIĘ!
Opublikowany online: 2017-09-20
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Inwazyjna ocena mikrokrążenia wieńcowego u pacjentów z zawałem serca z uniesieniem odcinka ST
Kardiol Inwazyjna 2017;12(4):18-24.
Streszczenie
Pierwotna przezskórna interwencja wieńcowa (pPCI) jest złotym standardem w leczeniu pacjentów zgłaszających się z ostrym zespołem wieńcowym z uniesieniem odcinka ST. Mimo to, śmiertelność wśród pacjentów w trakcie pierwszego roku po przeprowadzeniu zabiegu nadal pozostaje znaczna. Częściowo dzieje się tak ze względu na współistnienie lub późniejsze wystąpienie urazu reperfuzyjnego, wśród którego można wyróżnić niedrożność naczyń mikrokrążenia (MVO). Obecnie istnieją różnymi nieinwazyjne metody oceny mikrokrążenia, jednak wykrycie jakichkolwiek zaburzeń nawet już po kilku godzinach od przeprowadzenia pPCI może okazać się już zbyt późnym działaniem. Dlatego też ważne jest, aby diagnostyki nie opóźniać i jak najwcześniej wykryć zator w mikrokrążeniu, najlepiej jeszcze w trakcie pPCI, wdrażając postępowanie interwencyjne, tak aby pacjent mógł odnieść jak największy efekt terapii.
Słowa kluczowe: niedrożność naczyń mikrokrążeniaostry zespół wieńcowyprzezskórna interwencja wieńcowamikrokrążenie
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