1、Modified from Braunwald Heart Disease 5th edition,1997.休息时缺血表现休息时缺血表现不稳定型心绞痛不稳定型心绞痛急性冠脉综合征分类急性冠脉综合征分类心电图心电图STST抬高抬高 无心电图无心电图STST抬高抬高非非Q Q波急性心梗波急性心梗*Q Q波急性心梗波急性心梗*ACC/AHA/ESC 2006 Guidelines for AF in AMInClass I1.Direct-current cardioversion is recommended for patients with severe hemodynamic compro
2、mise or intractable ischemia,or when adequate rate control cannot be achieved with pharmacological agents in patients with acute MI and AF.(Level of Evidence:C)2.Intravenous administration of amiodarone is recommended to slow a rapid ventricular response to AF and improve LV function in patients wit
3、h acute MI.(Level of Evidence:C)ACC/AHA/ESC 2006 Guidelines for AF in AMI3.Intravenous beta blockers and nondihydropyridine calcium antagonists are recommended to slow a rapid ventricular response to AF in patients with acute MI who do not display clinical LV dysfunction,bronchospasm,or AV block.(Le
4、vel of Evidence:C)4.For patients with AF and acute MI,administration of unfractionated heparin by either continuous intravenous infusion or intermittent subcutaneous injection is recommended in a dose sufficient to prolong the activated partial thromboplastin time to 1.5 to 2 times the control value,unless contraindications to anticoagulation exist.(Level of Evidence:C)ACC/AHA/ESC 2006 Guidelines for AF in AMI
