| 非ST段抬高急性冠脉综合征诊治进展 |
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| 引用本文： | 严铭玉,王骏,王鸣和.非ST段抬高急性冠脉综合征诊治进展[J].世界临床药物,2013(10):623-630. |
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| 作者姓名： | 严铭玉 王骏 王鸣和 |
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| 作者单位： | [1]复旦大学附属华山医院静安分院老年医学科,上海200040 [2]复旦大学附属华山医院静安分院心内科,上海200040 |
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| 摘 要： | 非ST段抬高急性冠脉综合征（NSTE—ACS）包括非ST段抬高心肌梗死及不稳定型心绞痛。监测高敏心脏肌钙蛋白可提升急性心肌梗死早期诊断的准确性。本文综述预防NSTE—ACS患者缺血事件反复发生的标靶治疗包括抗凝治疗和包含阿司匹林和P2Y12抑制剂的双联抗血小板治疗，以及对高风险患者的有创治疗。
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| 关 键 词： | 非ST段抬高急性冠脉综合征 诊断 药物治疗 |
Advance in diagnosis and treatment of non-ST elevation acute coronary syndrome |
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| YAN Ming-yu,WANG Jun,WANG Ming-he.Advance in diagnosis and treatment of non-ST elevation acute coronary syndrome[J].WORLD CLINICAL DRUGS,2013(10):623-630. |
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| Authors: | YAN Ming-yu WANG Jun WANG Ming-he |
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| Institution: | Department of Gerontology; 2. Department of Cardiology, Huashan Hospital Fudan University Jing＇an Barnch, Shanghai 200040, China) |
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| Abstract: | Non-ST elevation acute coronary syndrome （NSTE-ACS） is comprised of non-STEMI （NSTEMI） and unstable angina （UA）. The recent introduction of hs-cTn assays has been shown to improve the diagnostic accuracy in the early diagnosis of acute myocardial infarction （AMI）. This review describes the targeted therapy to prevent from ischemic events repeatedly in the patients with NSTE-ACS, including anticoagulation and dual antiplatelet therapy with aspirin plus P2Y~2 inhibitor, and invasive treatment in high risk patients. |
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| Keywords: | non-ST-elevation acute coronary syndrome diagnosis drug therapy |
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