2型心肌梗死:对该问题的现代观点

Anna V. Motova, Victoria N. Karetnikova, Olga L. Barbarash
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引用次数: 0

摘要

本文介绍了不同类型心肌梗死的主要区别,特别是1型和2型心肌梗死的区别,2型心肌梗死患者诊断和治疗的复杂性,并总结了2型心肌梗死患者的患病率数据。提出了进一步研究区分不同表型心肌梗死的必要性。尽管对2型心肌梗死的研究有很高的兴趣,但关于诊断、诊断标准,特别是治疗策略等许多尚未解决的问题仍然没有解决。关于2型心肌梗死的现有数据仍然有限且不一致,并且是基于包括1型心肌梗死分析在内的来源。根据各种预测,2型心肌梗死的患病率将进一步增加。2型心肌梗死的治疗策略应根据患者的具体情况,根据病因和发病机制,及时诊断,并根据公认的定义进行心肌梗死的鉴别是一个相关的科学课题和现实需要。因此,综上所述,我们可以说,2型心肌梗死是一个包含许多未解决的问题的主题,涉及诊断,患者管理和进一步的二级预防。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TYPE 2 MYOCARDIAL INFARCTION: A MODERN VIEW ON THE PROBLEM
Highlights The article describes the main differences between the types of myocardial infarction, in particular, differences between type 1 and type 2 myocardial infarction, the complexity of diagnosis and management of patients with myocardial infarction type 2, and summarizes data on the prevalence of patients with myocardial infarction type 2. The arguments supporting the need for further researches to differentiate various phenotypes of myocardial infarction are provided. Abstract Despite the high interest in the study of type 2 MI, many unresolved issues concerning diagnosis, criteria for diagnosis and, especially, therapeutic tactics remain unresolved. The available data regarding type 2 MI remain limited and inconsistent, and are based on sources that include the analysis of type 1 MI. According to various predictions, the prevalence of type 2 MI will increase even more. Type 2 MI management strategy should be patient-specific and in accordance with the etiology and pathogenesis, therefore, timely diagnosis, and MI differentiation according to universally accepted definitions is a relevant scientific topic and a practical necessity. Thus, summarizing all the above, we can say that type 2 myocardial infarction is a topic that encompasses many unresolved issues concerning diagnosis, patient management and further secondary prevention.
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