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科学研究

Abstract

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Incidence, predictors, and outcomes of DAPT disruption due to non-compliance vs. bleeding after PCI: insights from the PARIS Registry Shock Team Approach in Refractory Cardiogenic Shock Requiring Short-Term Mechanical Circulatory Support: A Proof of Concept SCAI clinical expert consensus statement on the classification of cardiogenic shock: This document was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), the Society of Critical Care Medicine (SCCM), and the Society of Thoracic Surgeons (STS) in April 2019 Novel functions of macrophages in the heart: insights into electrical conduction, stress, and diastolic dysfunction Coronary Angiography after Cardiac Arrest without ST-Segment Elevation Randomized Comparison Between Radial and Femoral Large-Bore Access for Complex Percutaneous Coronary Intervention Application of High-Sensitivity Troponin in Suspected Myocardial Infarction Effects of Aspirin for Primary Prevention in Persons with Diabetes Mellitus
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Original Research

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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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