1、急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点OcclusionOcclusionPenetrationPenetrationSlow FlowSlow FlowNormal FlowNormal FlowTIMI 0TIMI 0TIMI 1TIMI 1TIMI 2TIMI 2TIMI 3TIMI 3%Mortality%Mortality9.3%9.3%6.1%6.1%3
2、.7%3.7%p0.0001 vs TIMI 0/1p0.0001 vs TIMI 0/1p0.0001 vs TIMI 2p0.0001 vs TIMI 2P=0.003 vs TIMI 0/1P=0.003 vs TIMI 0/1Team 2Team 2Team 2Team 2Team 2Team 2GermanGermanGermanGermanGermanGermanGUSTO 1GUSTO 1GUSTO 1GUSTO 1GUSTO 1GUSTO 1TAM I 1-7TAM I 1-7TAM I 1-7TAM I 1-7TAM I 1-7TAM I 1-7TIM I 1,4TIM I
3、1,45,10B5,10BTIM I 1,4TIM I 1,45,10B5,10BTIM I 1,4TIM I 1,45,10B5,10BCM Gibson 1998 in Acute Coronary SyndromesSample Size of Pooled Analysis:Sample Size of Pooled Analysis:5,4985,498101016163333343444442727131319191515181829293434Restoration of“Normal”Epicardial Flow Yields Better OutcomesRestorati
4、on of“Normal”Epicardial Flow Yields Better OutcomesUnfortunately rate Unfortunately rate of agreement only of agreement only 71%71%急诊PCI治疗要点急诊PCI治疗要点FZ 2008-10急诊PCI治疗要点FZ 2008-12急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点Svilaas T et al.NEJM 2008;358:557-FZ 2008-8急诊PCI治疗要点Svilaas T et al.NEJM 2008;358-557-FZ 2008-9急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点B急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点Time(days)302520151050Event free survival90%80%70%60%50%40%TirofibanPlaceboP value 0,012急诊PCI治疗要点急诊PCI治疗要点BA急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点急诊PCI治疗要点
