海南医科大学学报2025，Vol.31Issue(3)：220-228,9.DOI:10.13210/j.cnki.jhmu.20241010.001
从IRA到NON-IRA:全面血运重建在STEMI合并MVD患者PCI治疗中的研究进展
From IRA to NON-IRA:Progress in total revascularization for PCI in patients with STEMI and MVD
摘要
Abstract
ST-segment elevation myocardial infarction(STEMI),when complicated by multi-vessel disease(MVD),is as-sociated with a high incidence and is strongly correlated with adverse clinical outcomes in medical practice.The choice of emergen-cy percutaneous coronary intervention(PCI)strategy significantly impacts patient outcomes.Currently,experts primarily focus on three PCI strategies:(1)perform revascularization solely on the infarct-related artery(IRA);(2)manage both the IRA and non-infarct-related arteries(non-IRA)concurrently;and(3)conduct PCI on the IRA initially,followed by staged PCI for the non-IRA at an appropriate juncture.While the treatment plan for IRAs has been relatively clear,the approach to non-IRAs remains con-troversial.Given the unique pathophysiological state of non-IRAs in MVD,selecting an appropriate revascularization strategy and timing is crucial for improving patient prognosis.Despite ongoing research,there is no consensus on the optimal PCI strategy and timing for non-IRAs.This article reviews research progress in the field of non-IRA PCI with the aim of providing theoretical guid-ance and reference for clinicians to select suitable revascularization strategies to enhance patient prognoses.关键词
ST段抬高型心肌梗死/多支血管病变/非梗死相关动脉/经皮冠脉介入/血运重建Key words
ST-segment elevation myocardial infarction/Multivessel disease/Non-infarct-associated artery/Percutaneous coronary intervention/Revascularization分类
医药卫生引用本文复制引用
朱能元,曾梦雅,罗颖,陈跃武..从IRA到NON-IRA:全面血运重建在STEMI合并MVD患者PCI治疗中的研究进展[J].海南医科大学学报,2025,31(3):220-228,9.基金项目
This study was supported by the National Natural Science Foundation of China(82360063),Natural Science Foundation of Hainan Province(High-level Talents Project)(821RC1127),and Key Research and Development Project of Hainan Province(Social Development)(ZDYF2022SHFZ070) 国家自然科学基金资助项目(82360063) （82360063）
海南省自然科学基金(高层次人才项目)(821RC1127) （高层次人才项目）
海南省重点研发项目(社会发展)(ZDYF2022SHFZ070) （社会发展）
