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Circ Cardiovasc Qual:AHA/ACC发布新版心梗质量标准：应参加心梗注册登记，院外心脏骤停者要造影

2017-09-26 许菁 中国循环杂志

心梗质量标准心梗注册登记心脏骤停者造影
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近期，AHA/ACC发布新版心肌梗死质量标准，这是近十年来AHA/ACC首次发布心肌梗死质量标准，是对2008版心肌梗死质量标准的更新。新版质量标准包括24项措施。新增加四项行为规范和七项质量标准。

近期，AHA/ACC发布新版心肌梗死质量标准，这是近十年来AHA/ACC首次发布心肌梗死质量标准，是对2008版心肌梗死质量标准的更新。新版质量标准包括24项措施。新增加四项行为规范和七项质量标准。

四项行为规范

1 对发生院外心脏骤停的ST段抬高型心肌梗死的患者实施紧急血管造影；
2 接受保守治疗的患者在出院前要接受无创负荷检查；
3 入院6小时内要测心肌肌钙蛋白水平；
4 参加区域性或国家急性心肌梗死注册登记。

七项质量标准

1 对NSTEMI患者进行风险评分分层；
2 高危NSTEMI患者要在24小时内接受再灌注治疗；
3 发生院外心脏骤停的昏迷ST段抬高型心肌梗死要实施治疗低体温；
4 出院后应用醛固酮拮抗剂；
5 院内不恰当应用非甾体抗炎药；
6 对有卒中/TIA病史的患者出院不恰当处方普拉格雷；
7 出院不恰当使用大剂量阿司匹林/替卡格雷；

原始出处：

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    2017-11-04 quxin068

    #ASC#

    0

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    2018-05-05 haouestc

    #质量标准#

    0

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    2017-09-28 zhaohui6731

    #AHA#

    0

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    2017-09-28 wwzzly

    #院外心脏骤停#

    0

  5. 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objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Sep 26 19:29:17 CST 2017, time=2017-09-26, status=1, ipAttribution=)]
    2017-09-28 12498568m50暂无昵称

    #ACC#

    0

  6. 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objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Sep 26 19:29:17 CST 2017, time=2017-09-26, status=1, ipAttribution=)]
    2017-09-28 sodoo

    #造影#

    0

  7. 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channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94973, encryptionId=3e34949e333, topicName=造影)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=908d9134595, createdName=sodoo, createdTime=Thu Sep 28 02:37:00 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1556772, encodeId=89ee1556e72a6, content=<a href='/topic/show?id=e4016495635' target=_blank style='color:#2F92EE;'>#注册#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64956, encryptionId=e4016495635, topicName=注册)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c52c14833361, createdName=zhyy93, createdTime=Thu Sep 28 02:37:00 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248191, encodeId=654f248191ab, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9fe2157555, createdName=Bdjdnska, createdTime=Wed Sep 27 13:34:09 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248139, encodeId=78e624813959, content=学习一下知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Wed Sep 27 10:00:51 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=247944, encodeId=27c424e94474, content=AHA/ACC发布新版心肌梗死质量标准.这是近十年来AHA/ACC首次发布心肌梗死质量标准.是对2008版心肌梗死质量标准的更新., beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Sep 26 19:29:17 CST 2017, time=2017-09-26, status=1, ipAttribution=)]
    2017-09-28 zhyy93

    #注册#

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1938752, encodeId=7d9a1938e5211, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Sat Nov 04 02:37:00 CST 2017, time=2017-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740475, encodeId=13f41e4047596, content=<a href='/topic/show?id=95e792401e9' target=_blank style='color:#2F92EE;'>#质量标准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=92401, encryptionId=95e792401e9, topicName=质量标准)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5b0534781223, createdName=haouestc, createdTime=Sat May 05 11:37:00 CST 2018, time=2018-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267554, encodeId=e474126e554ea, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Thu Sep 28 02:37:00 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305659, encodeId=f912130565951, content=<a href='/topic/show?id=1787983537c' target=_blank style='color:#2F92EE;'>#院外心脏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98353, 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channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94973, encryptionId=3e34949e333, topicName=造影)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=908d9134595, createdName=sodoo, createdTime=Thu Sep 28 02:37:00 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1556772, encodeId=89ee1556e72a6, content=<a href='/topic/show?id=e4016495635' target=_blank style='color:#2F92EE;'>#注册#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64956, encryptionId=e4016495635, topicName=注册)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c52c14833361, createdName=zhyy93, createdTime=Thu Sep 28 02:37:00 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248191, encodeId=654f248191ab, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9fe2157555, createdName=Bdjdnska, createdTime=Wed Sep 27 13:34:09 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248139, encodeId=78e624813959, content=学习一下知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Wed Sep 27 10:00:51 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=247944, encodeId=27c424e94474, content=AHA/ACC发布新版心肌梗死质量标准.这是近十年来AHA/ACC首次发布心肌梗死质量标准.是对2008版心肌梗死质量标准的更新., beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Sep 26 19:29:17 CST 2017, time=2017-09-26, status=1, ipAttribution=)]
    2017-09-27 Bdjdnska

    学习了

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1938752, encodeId=7d9a1938e5211, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Sat Nov 04 02:37:00 CST 2017, time=2017-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740475, encodeId=13f41e4047596, content=<a href='/topic/show?id=95e792401e9' target=_blank style='color:#2F92EE;'>#质量标准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=92401, encryptionId=95e792401e9, topicName=质量标准)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5b0534781223, 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channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94973, encryptionId=3e34949e333, topicName=造影)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=908d9134595, createdName=sodoo, createdTime=Thu Sep 28 02:37:00 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1556772, encodeId=89ee1556e72a6, content=<a href='/topic/show?id=e4016495635' target=_blank style='color:#2F92EE;'>#注册#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64956, encryptionId=e4016495635, topicName=注册)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c52c14833361, createdName=zhyy93, createdTime=Thu Sep 28 02:37:00 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248191, encodeId=654f248191ab, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9fe2157555, createdName=Bdjdnska, createdTime=Wed Sep 27 13:34:09 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248139, encodeId=78e624813959, content=学习一下知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Wed Sep 27 10:00:51 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=247944, encodeId=27c424e94474, content=AHA/ACC发布新版心肌梗死质量标准.这是近十年来AHA/ACC首次发布心肌梗死质量标准.是对2008版心肌梗死质量标准的更新., beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Sep 26 19:29:17 CST 2017, time=2017-09-26, status=1, ipAttribution=)]
    2017-09-27 flysky120

    学习一下知识了

    0

  10. 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objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Sep 26 19:29:17 CST 2017, time=2017-09-26, status=1, ipAttribution=)]
    2017-09-26 有备才能无患

    AHA/ACC发布新版心肌梗死质量标准.这是近十年来AHA/ACC首次发布心肌梗死质量标准.是对2008版心肌梗死质量标准的更新.

    0

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