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急性ST段抬高型心肌梗死诊断和治疗指南（2019）解读

2019-12-30 中国心血管病研究.2019,17(12):1057-1061.

急性ST段抬高型心肌梗死

急性ST段抬高型心肌梗死(STEMI)是我国致死致残的主要原因。中华医学会心血管病学分会和中华心血管病杂志编辑委员会对2015年的STEMI指南进行了更新，于近期发表了《急性ST段抬高型心肌梗死诊断和治疗指南(2019)》。本文对指南中的部分更新内容进行了详细解读，有利于读者更好地理解新指南，从而更好地遵循新指南来指导临床实践。

中文标题：

急性ST段抬高型心肌梗死诊断和治疗指南（2019）解读

发布机构：

发布日期：

2019-12-30

简要介绍：

急性ST段抬高型心肌梗死(STEMI)是我国致死致残的主要原因。中华医学会心血管病学分会和中华心血管病杂志编辑委员会对2015年的STEMI指南进行了更新，于近期发表了《急性ST段抬高型心肌梗死诊断和治疗指南(2019)》。本文对指南中的部分更新内容进行了详细解读，有利于读者更好地理解新指南，从而更好地遵循新指南来指导临床实践。

作者：北京大学第一医院心内科 龚艳君 霍勇 

拓展指南：与心肌梗死相关指南：

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[AttachmentFileName(sort=100, fileName=急性ST段抬高型心肌梗死诊断和治疗指南（2019）解读)] GetToolGuiderByIdResponse(projectId=1, id=69f6d1c0018562a3, title=急性ST段抬高型心肌梗死诊断和治疗指南（2019）解读, enTitle=, guiderFrom=中国心血管病研究.2019,17(12):1057-1061., authorId=null, author=, summary=急性ST段抬高型心肌梗死(STEMI)是我国致死致残的主要原因。中华医学会心血管病学分会和中华心血管病杂志编辑委员会对2015年的STEMI指南进行了更新，于近期发表了《急性ST段抬高型心肌梗死诊断和治疗指南(2019)》。本文对指南中的部分更新内容进行了详细解读，有利于读者更好地理解新指南，从而更好地遵循新指南来指导临床实践。 , cover=, journalId=null, articlesId=null, associationId=null, associationName=, associationIntro=, copyright=0, guiderPublishedTime=Mon Dec 30 00:00:00 CST 2019, originalUrl=, linkOutUrl=, content=<P>急性ST段抬高型心肌梗死(STEMI)是我国致死致残的主要原因。中华医学会心血管病学分会和中华心血管病杂志编辑委员会对2015年的STEMI指南进行了更新，于近期发表了《急性ST段抬高型心肌梗死诊断和治疗指南(2019)》。本文对指南中的部分更新内容进行了详细解读，有利于读者更好地理解新指南，从而更好地遵循新指南来指导临床实践。 </P> <P>作者：北京大学第一医院心内科 龚艳君 霍勇 </P>拓展指南：<strong>与<font color=red>心肌梗死</font>相关指南：</strong><br><ul><li><a href="//www.sandwebs.com/guideline/show_article.do?id=4d77f1c00182993c" title="2019 2型心肌梗死与急性非缺血性心肌损伤患者的评估和治疗白皮书" target=_blank>2019 2型心肌梗死与急性非缺血性心肌损伤患者的评估和治疗白皮书</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=2565f1c001e25002" title="2019 AHA科学声明：无阻塞性冠状动脉疾病心肌梗死患者的诊断和管理" target=_blank>2019 AHA科学声明：无阻塞性冠状动脉疾病心肌梗死患者的诊断和管理</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=6e5f21c001e059fe" title="2019 CCS/CAIC指南：ST段抬高型心肌梗死的紧急管理" target=_blank>2019 CCS/CAIC指南：ST段抬高型心肌梗死的紧急管理</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=295531c001e023b7" title="急性ST段抬高型心肌梗死溶栓治疗的合理用药指南（第2版）" target=_blank>急性ST段抬高型心肌梗死溶栓治疗的合理用药指南（第2版）</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=a0e5d1c00168612c" title="第四次心肌梗死全球统一定义(2018)要点解读：重视心肌损伤，细化心肌梗死诊断" target=_blank>第四次心肌梗死全球统一定义(2018)要点解读：重视心肌损伤，细化心肌梗死诊断</a></li> 更多信息请点击：<a href="//www.sandwebs.com/guideline/list.do?q=%E5%BF%83%E8%82%8C%E6%A2%97%E6%AD%BB" target=_blank>有关心肌梗死更多指南</a></ul>, tagList=[TagDto(tagId=6530, tagName=急性ST段抬高型心肌梗死)], categoryList=[CategoryDto(categoryId=2, categoryName=心血管, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=解读, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=17911, appHits=2356, showAppHits=55, pcHits=3627, showPcHits=14815, likes=49, shares=169, comments=54, approvalStatus=1, publishedTime=Mon Jan 27 20:08:10 CST 2020, publishedTimeString=2019-12-30, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Mon Jan 27 20:08:10 CST 2020, updatedBy=null, updatedName=null, updatedTime=Sat Jan 06 20:25:57 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=急性ST段抬高型心肌梗死诊断和治疗指南（2019）解读)])
急性ST段抬高型心肌梗死诊断和治疗指南（2019）解读
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  1. [GetPortalCommentsPageByObjectIdResponse(id=2207915, encodeId=f70f220e9158a, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4db09330083, createdName=ms9000000512108944, createdTime=Sun Jun 02 16:07:11 CST 2024, time=2024-06-02, status=1, ipAttribution=河北省), GetPortalCommentsPageByObjectIdResponse(id=2121711, encodeId=633e2121e11a7, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e375419222, createdName=ms9000000423676764, createdTime=Sat Mar 25 07:10:37 CST 2023, time=2023-03-25, status=1, ipAttribution=江苏省), GetPortalCommentsPageByObjectIdResponse(id=1194441, encodeId=80101194441be, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e9b2034681, createdName=1891e85838m, createdTime=Thu Feb 17 14:49:26 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190726, encodeId=37831190e26ee, content=<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>实用的学习资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01af1957237, createdName=1e129e46m43(暂无匿称), createdTime=Mon Feb 07 13:55:15 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189537, encodeId=552a118953eb6, content=非常好非常实用nice<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJM7wWfViacVn8oCHFSHkCJGp2Kq2ptrNI6iavMZbTTHguRLe6WAibGWzpwEVJLmwibv2icU0ibhnP8QhQg/132, createdBy=39f05075713, createdName=姜艺冰, createdTime=Tue Feb 01 12:16:23 CST 2022, time=2022-02-01, status=1, ipAttribution=)]
    2024-06-02 ms9000000512108944 来自河北省

    感谢分享

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2207915, encodeId=f70f220e9158a, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4db09330083, createdName=ms9000000512108944, createdTime=Sun Jun 02 16:07:11 CST 2024, time=2024-06-02, status=1, ipAttribution=河北省), GetPortalCommentsPageByObjectIdResponse(id=2121711, encodeId=633e2121e11a7, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e375419222, createdName=ms9000000423676764, createdTime=Sat Mar 25 07:10:37 CST 2023, time=2023-03-25, status=1, ipAttribution=江苏省), GetPortalCommentsPageByObjectIdResponse(id=1194441, encodeId=80101194441be, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e9b2034681, createdName=1891e85838m, createdTime=Thu Feb 17 14:49:26 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190726, encodeId=37831190e26ee, content=<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>实用的学习资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01af1957237, createdName=1e129e46m43(暂无匿称), createdTime=Mon Feb 07 13:55:15 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189537, encodeId=552a118953eb6, content=非常好非常实用nice<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJM7wWfViacVn8oCHFSHkCJGp2Kq2ptrNI6iavMZbTTHguRLe6WAibGWzpwEVJLmwibv2icU0ibhnP8QhQg/132, createdBy=39f05075713, createdName=姜艺冰, createdTime=Tue Feb 01 12:16:23 CST 2022, time=2022-02-01, status=1, ipAttribution=)]
    2023-03-25 ms9000000423676764 来自江苏省

    感谢分享

    0

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    2022-02-17 1891e85838m

    学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2207915, encodeId=f70f220e9158a, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4db09330083, createdName=ms9000000512108944, createdTime=Sun Jun 02 16:07:11 CST 2024, time=2024-06-02, status=1, ipAttribution=河北省), GetPortalCommentsPageByObjectIdResponse(id=2121711, encodeId=633e2121e11a7, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e375419222, createdName=ms9000000423676764, createdTime=Sat Mar 25 07:10:37 CST 2023, time=2023-03-25, status=1, ipAttribution=江苏省), GetPortalCommentsPageByObjectIdResponse(id=1194441, encodeId=80101194441be, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e9b2034681, createdName=1891e85838m, createdTime=Thu Feb 17 14:49:26 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190726, encodeId=37831190e26ee, content=<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>实用的学习资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=127, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51728, encryptionId=974e51e2810, topicName=心血管)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01af1957237, createdName=1e129e46m43(暂无匿称), createdTime=Mon Feb 07 13:55:15 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189537, encodeId=552a118953eb6, content=非常好非常实用nice<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJM7wWfViacVn8oCHFSHkCJGp2Kq2ptrNI6iavMZbTTHguRLe6WAibGWzpwEVJLmwibv2icU0ibhnP8QhQg/132, createdBy=39f05075713, createdName=姜艺冰, createdTime=Tue Feb 01 12:16:23 CST 2022, time=2022-02-01, status=1, ipAttribution=)]
    2022-02-07 1e129e46m43(暂无匿称)

    #心血管#实用的学习资料

    0

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    2022-02-01 姜艺冰

    非常好非常实用nice#学习#

    0

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