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科学研究

Abstract

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Appropriate Use Criteria and Health Status Outcomes Following Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the OPEN-CTO Registry Long-Term Prognostic Implications of Previous Silent Myocardial Infarction in Patients Presenting With Acute Myocardial Infarction Relation of prior statin and anti-hypertensive use to severity of disease among patients hospitalized with COVID-19: Findings from the American Heart Association’s COVID-19 Cardiovascular Disease Registry Pharmacotherapy in the Management of Anxiety and Pain During Acute Coronary Syndromes and the Risk of Developing Symptoms of Posttraumatic Stress Disorder The Prognostic Significance of Periprocedural Infarction in the Era of Potent Antithrombotic Therapy: The PRAGUE-18 Substudy A Test in Context: E/A and E/e' to Assess Diastolic Dysfunction and LV Filling Pressure Impact of Coronary Lesion Complexity in Percutaneous Coronary Intervention: One-Year Outcomes From the Large, Multicentre e-Ultimaster Registry Selection of stenting approach for coronary bifurcation lesions
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无复流现象

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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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