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雑誌詳細

文献概要

今月の特集2 とても怖い心臓病ACSの診断と治療

急性冠症候群の病態と治療

著者: 石綿清雄1

所属機関: 1虎の門病院 循環器センター内科

ページ範囲:P.1614 - P.1619

●急性冠症候群(ACS)は不安定狭心症から急性心筋梗塞,さらには心臓突然死をひとまとめにする病態であり,不安定粥種の破綻と血栓形成を共通の基盤として発症する.

●すでに確立された診断と治療があり,迅速かつ最適な対応が必要となる病態である.

●治療指針のガイドラインの正確な解釈が大切である.

参考文献

1)Fuster V, Stein B, Ambrose JA, et al:Atherosclerotic plaque rupture and thrombosis. Evolving concepts. Circulation 82(3 Suppl):II47-II59,1990
2)Shiotani I, Sato H, Kinjo K, et al:Depressive symptoms predict 12-month prognosis in elderly patients with acute myocardial infarction. J Cardiovasc Risk 9:153-160,2002
3)Kasanuki H, Honda T, Haze K, et al:A large-scale prospective cohort study on the current status of therapeutic modalities for acute myocardial infarction in Japan: rationale and initial results of the HIJAMI Registry. Am Heart J 150:411-418,2005
4)Kawano H, Soejima H, Kojima S, et al:Sex differences of risk factors for acute myocardial infarction in Japanese patients. Circ J 70:513-517,2006
5)Yasue H, Ogawa H, Tanaka H, et al:Effects of aspirin and trapidil on cardiovascular events after acute myocardial infarction. Japanese Antiplatelets Myocardial Infarction Study (JAMIS) Investigators. Am J Cardiol 83:1308-1313,1999
6)Japanese beta-Blockers and Calcium Antagonists Myocardial Infarction (JBCMI) Investigators:Comparison of the effects of beta blockers and calcium antagonists on cardiovascular events after acute myocardial infarction in Japanese subjects. Am J Cardiol 93:969-973,2004
7)Sakamoto T, Kojima S, Ogawa H, et al:Usefulness of hydrophilic vs lipophilic statins after acute myocardial infarction: subanalysis of MUSASHI-AMI. Circ J 71:1348-1353,2007
8)Ueshima K, Fukami K, Hiramori K, et al:Is angiotensin-converting enzyme inhibitor useful in a Japanese population for secondary prevention after acute myocardial infarction? A final report of the Japanese Acute Myocardial Infarction Prospective (JAMP) study. Am Heart J 148:e8,2004
9)Ui S, Chino M, Isshiki T:Rates of primary percutaneous coronary intervention worldwide. Circ J 69:95-100,2005
10)Svilaas T, Vlaar PJ, van der Horst IC, et al:Thrombus aspiration during primary percutaneous coronary intervention. N Engl J Med 358:557-567,2008
11)Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC), Steg PG, James SK, et al:ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 33:2569-2619,2012

掲載雑誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

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