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可能忽略了这些因素对患者预后的影响;②冠脉SR procedural TIMI flow on clinical outcome in low⁃risk pa⁃
受到患者纤溶与凝血系统的影响,早期使用低分子 tients with ST ⁃ elevation myocardial infarction:results
肝素等药物未能纳入数据分析中;③所有数据来自 from the ATLANTIC study[J]. Catheter Cardiovasc In⁃
单中心的临床数据,需要有多中心、前瞻性和更大 terv,2020,95(3):494-500
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样本的临床随机对照实验来验证冠脉 SR 对患者预
lence,predictors,and clinical outcome of VSR versus
后的预测价值。
FWR after acute myocardial infarction:the prospective,
综上,本研究结果显示 24.2% 的 STEMI 患者急
multicenter registry MOODY trial⁃heart rupture analysis
诊 PCI 治疗前发生 SR,合并高血压不利于 SR 的发 [J]. Cardiovasc Revascularization Med,2019,20(12):
生,而长期随访显示SR并未降低STEMI患者的全因 1158-1164
死亡。因此,SR对患者的预后影响仍然需要进一步 [9] 中华医学会心血管病学分会,中华心血管病杂志编辑
研究。 委员会. 急性 ST 段抬高型心肌梗死诊断和治疗指南
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