急性冠脉综合征介入治疗与保守治疗的评价

非ST段抬高急性冠脉综合征是冠心病患者最常见的住院原因之一,已公布的随机临床试验的结果显示,采取早期侵入治疗策略有利于降低此类患者不良临床事件的发生率,并改善其预后。但在如何选择理想的早期侵入治疗时间,以及合并不同疾病患者的治疗选择等问题上,仍需要进一步研究。无论选择何种治疗策略,合理使用抗栓药物治疗以及冠心病的二级预防都应该是非ST段抬高急性冠脉综合征患者治疗策略的重要组成部分。

Revascularization Strategy for Acute Coronary Syndromes:Early Invasive or Early Conservative?

Non-ST-segment elevated acute coronary syndrome is the most common cause of cardiac hospital admissions, and the evidence from published clinical trials reveals that early invasive strategy can reduce the rate of adverse cardiovascular events. Some aspects of this issue require further study. These include the optimal invasive treatment time and treatment strategy for those patients with comorbid conditions. Antithrombotic therapy and the secondary prevention for coronary artery disease should be important elements of any treatment for acute coronary syndrome.