稳定性冠心病基层诊疗指南(实践版·2020)

2021-03-20 中华医学会 中华全科医师杂志

稳定性冠心病(stable coronary artery disease,SCAD)一般包括3种情况,即慢性稳定性劳力型心绞痛、缺血性心肌病和急性冠状动脉综合征(acute coronar

中文标题:

稳定性冠心病基层诊疗指南(实践版·2020)

发布机构:

中华医学会

发布日期:

2021-03-20

简要介绍:

稳定性冠心病(stable coronary artery disease,SCAD)一般包括3种情况,即慢性稳定性劳力型心绞痛、缺血性心肌病和急性冠状动脉综合征(acute coronary syndrome,ACS)之后稳定的病程阶段。慢性稳定性劳力型心绞痛是在冠状动脉固定性严重狭窄基础上,由于心肌负荷的增加引起的心肌急剧、短暂的缺血缺氧临床综合征,通常为一过性的胸部不适,其特点为短暂的胸骨后压榨性疼痛或憋闷感(心绞痛),可由运动、情绪波动或其他应激诱发。缺血性心肌病是指由于长期心肌缺血导致心肌局限性或弥漫性纤维化,从而产生心脏收缩和/或舒张功能受损,引起心脏扩大或僵硬、慢性心力衰竭、心律失常等一系列临床表现的临床综合征。ACS之后稳定的病程阶段,通常无症状,表现为长期、静止、无典型缺血症状的状态。

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1235868, encodeId=b6c11235868f2, content=为什么看不了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/29/f48081e2c7622ec35cbcc4345041d752.jpg, createdBy=0e865110940, createdName=涧西源长, createdTime=Mon Aug 01 09:19:16 CST 2022, time=2022-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1203339, encodeId=0d8e1203339d2, content=学习了,对于基层的我们太有意义了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9c6d5397190, createdName=ms8000001722700191, createdTime=Thu Mar 17 07:00:10 CST 2022, time=2022-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082455, encodeId=2d9210824550c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7f91472692, createdName=citymanager, createdTime=Tue Dec 21 09:17:38 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061503, encodeId=75e5106150323, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211021/325968592fca479c860f9cb813bf7101/c482cbad1f0c4469aa869150a1252beb.jpg, createdBy=45855318112, createdName=148a137dm07暂无昵称, createdTime=Mon Oct 18 15:51:31 CST 2021, time=2021-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978574, encodeId=ffdf9e8574a3, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200913/14a20f57ad124155b59e7abcef010870/598e2998bb6746a29dc7cc27d6257a84.jpg, createdBy=d23f4759873, createdName=Blueangel, createdTime=Thu Jul 01 11:39:27 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2022-08-01 涧西源长

    为什么看不了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1235868, encodeId=b6c11235868f2, content=为什么看不了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/29/f48081e2c7622ec35cbcc4345041d752.jpg, createdBy=0e865110940, createdName=涧西源长, createdTime=Mon Aug 01 09:19:16 CST 2022, time=2022-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1203339, encodeId=0d8e1203339d2, content=学习了,对于基层的我们太有意义了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9c6d5397190, createdName=ms8000001722700191, createdTime=Thu Mar 17 07:00:10 CST 2022, time=2022-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082455, encodeId=2d9210824550c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7f91472692, createdName=citymanager, createdTime=Tue Dec 21 09:17:38 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061503, encodeId=75e5106150323, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211021/325968592fca479c860f9cb813bf7101/c482cbad1f0c4469aa869150a1252beb.jpg, createdBy=45855318112, createdName=148a137dm07暂无昵称, createdTime=Mon Oct 18 15:51:31 CST 2021, time=2021-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978574, encodeId=ffdf9e8574a3, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200913/14a20f57ad124155b59e7abcef010870/598e2998bb6746a29dc7cc27d6257a84.jpg, createdBy=d23f4759873, createdName=Blueangel, createdTime=Thu Jul 01 11:39:27 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2022-03-17 ms8000001722700191

    学习了,对于基层的我们太有意义了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1235868, encodeId=b6c11235868f2, content=为什么看不了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/29/f48081e2c7622ec35cbcc4345041d752.jpg, createdBy=0e865110940, createdName=涧西源长, createdTime=Mon Aug 01 09:19:16 CST 2022, time=2022-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1203339, encodeId=0d8e1203339d2, content=学习了,对于基层的我们太有意义了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9c6d5397190, createdName=ms8000001722700191, createdTime=Thu Mar 17 07:00:10 CST 2022, time=2022-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082455, encodeId=2d9210824550c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7f91472692, createdName=citymanager, createdTime=Tue Dec 21 09:17:38 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061503, encodeId=75e5106150323, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211021/325968592fca479c860f9cb813bf7101/c482cbad1f0c4469aa869150a1252beb.jpg, createdBy=45855318112, createdName=148a137dm07暂无昵称, createdTime=Mon Oct 18 15:51:31 CST 2021, time=2021-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978574, encodeId=ffdf9e8574a3, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200913/14a20f57ad124155b59e7abcef010870/598e2998bb6746a29dc7cc27d6257a84.jpg, createdBy=d23f4759873, createdName=Blueangel, createdTime=Thu Jul 01 11:39:27 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2021-12-21 citymanager

    学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1235868, encodeId=b6c11235868f2, content=为什么看不了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/29/f48081e2c7622ec35cbcc4345041d752.jpg, createdBy=0e865110940, createdName=涧西源长, createdTime=Mon Aug 01 09:19:16 CST 2022, time=2022-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1203339, encodeId=0d8e1203339d2, content=学习了,对于基层的我们太有意义了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9c6d5397190, createdName=ms8000001722700191, createdTime=Thu Mar 17 07:00:10 CST 2022, time=2022-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082455, encodeId=2d9210824550c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7f91472692, createdName=citymanager, createdTime=Tue Dec 21 09:17:38 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061503, encodeId=75e5106150323, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211021/325968592fca479c860f9cb813bf7101/c482cbad1f0c4469aa869150a1252beb.jpg, createdBy=45855318112, createdName=148a137dm07暂无昵称, createdTime=Mon Oct 18 15:51:31 CST 2021, time=2021-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978574, encodeId=ffdf9e8574a3, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200913/14a20f57ad124155b59e7abcef010870/598e2998bb6746a29dc7cc27d6257a84.jpg, createdBy=d23f4759873, createdName=Blueangel, createdTime=Thu Jul 01 11:39:27 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2021-10-18 148a137dm07暂无昵称

    学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1235868, encodeId=b6c11235868f2, content=为什么看不了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/29/f48081e2c7622ec35cbcc4345041d752.jpg, createdBy=0e865110940, createdName=涧西源长, createdTime=Mon Aug 01 09:19:16 CST 2022, time=2022-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1203339, encodeId=0d8e1203339d2, content=学习了,对于基层的我们太有意义了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9c6d5397190, createdName=ms8000001722700191, createdTime=Thu Mar 17 07:00:10 CST 2022, time=2022-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082455, encodeId=2d9210824550c, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7f91472692, createdName=citymanager, createdTime=Tue Dec 21 09:17:38 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061503, encodeId=75e5106150323, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211021/325968592fca479c860f9cb813bf7101/c482cbad1f0c4469aa869150a1252beb.jpg, createdBy=45855318112, createdName=148a137dm07暂无昵称, createdTime=Mon Oct 18 15:51:31 CST 2021, time=2021-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978574, encodeId=ffdf9e8574a3, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200913/14a20f57ad124155b59e7abcef010870/598e2998bb6746a29dc7cc27d6257a84.jpg, createdBy=d23f4759873, createdName=Blueangel, createdTime=Thu Jul 01 11:39:27 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2021-07-01 Blueangel

    学习了

    0

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