直近一年間の累計
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ダウンロード数 : ?
ID 83823
タイトルヨミ
シンキンコウソク ノ サイシン ノ チリョウ ニツイテ : ハッショウ ノ ゲンバ カラ キュウセイキ チリョウ マデ
タイトル別表記
Acute treatment of myocardial infarction
著者
若槻, 哲三 徳島大学病院循環器内科・超音波センター 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
acute myocardial infarction
plaque rupture
reperfusion
percutaneous coronary intervention
stent
資料タイプ
学術雑誌論文
抄録
Acute myocardial infarction(AMI)refers to a condition in which an intracoronary thrombus rapidly develops at the onset of rupture of vulnerable coronary plaques, affecting blood flow and leading to myocardial necrosis. Therefore, the concept of AMI treatment is to achieve coronary reperfusion earlier. Currently, in Japan, percutaneous coronary intervention(PCI)is primarily employed for reperfusion treatment due to its promptness and accuracy. Acute treatment with a catheter has advanced : from conventional balloon angioplasty to the development of devices/procedures for coronary stent implantation, topical thrombus aspiration, and peripheral protection. It is also important to manage acute complications. In accordance with the circumstances, DC shock, transient pacemaker insertion, intra-aortic balloon pumping(IABP), and the application of percutaneous cardiopulmonary support(PCPS)must be promptly performed. To protect the injured myocardium and control other vulnerable plaques, early drug intervention is also very important. Prompt, appropriate cardiopulmonary resuscitation before arrival and prompt transport to a hospital in which specialized treatment is possible are important for initial management rather than in-hospital treatment.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
67
3-4
開始ページ
123
終了ページ
126
並び順
123
発行日
2011-08-25
備考
EDB ID
フルテキストファイル
言語
jpn
部局
病院