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Abstract

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2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk: The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS) The contribution of tissue-grouped BMI-associated gene sets to cardiometabolic-disease risk: a Mendelian randomization study Association of Coronary Artery Calcium With Long-term, Cause-Specific Mortality Among Young Adults Management of Asymptomatic Severe Aortic Stenosis: Evolving Concepts in Timing of Valve Replacement Dual Antiplatelet Therapy Duration in Medically Managed Acute Coronary Syndrome Patients: Sub-Analysis of the OPT-CAD Study Why NOBLE and EXCEL Are Consistent With Each Other and With Previous Trials 1-Year Outcomes of Delayed Versus Immediate Intervention in Patients With Transient ST-Segment Elevation Myocardial Infarction Expansion or contraction of stenting in coronary artery disease?
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无复流现象

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Pre-reading

2001年，Eeckhout和Kern将无复流现象（No-Flow Phenomenon）定义为冠状动脉循环中某一特定血管节段虽心肌灌注不足，但无机械性血管阻塞（mechanical vessel obstruction）冠状动脉造影证据。经皮冠状动脉介入治疗支架置入后在明确没有可见残余狭窄后，术者将首要关注冠状动脉血流，若发生无复流现象，或将进一步影响预后及左心室重构，增加不良心脏事件的风险。因此熟知可预防无复流现象的策略、药物（冠状动脉内注射腺苷intracoronary adenosine, 硝普钠nitropusside）和非药物（低体温法induced hypothermia）等干预法对提高介入质量、改善患者预后的重要性不言而喻。



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