ST段抬高型心肌梗死基层诊疗指南(2019年)

2020-12-20 中华医学会 中华全科医师杂志.2020.19(12):1083-1091.

根据第四版“心肌梗死全球定义”的标准,心肌梗死是指急性心肌损伤[血清心脏肌钙蛋白(cardiac troponin,cTn)升高和/或回落,且至少1次高于正常值上限(参考值上限

中文标题:

ST段抬高型心肌梗死基层诊疗指南(2019年)

发布机构:

中华医学会

发布日期:

2020-12-20

简要介绍:

根据第四版“心肌梗死全球定义”的标准,心肌梗死是指急性心肌损伤[血清心脏肌钙蛋白(cardiac troponin,cTn)升高和/或回落,且至少1次高于正常值上限(参考值上限值的99百分位值)],同时有急性心肌缺血的临床证据,包括:①急性心肌缺血症状;②新的缺血性心电图改变;③新发病理性Q波;④新的存活心肌丢失或室壁节段运动异常的影像学证据;⑤冠状动脉造影、腔内影像学检查或尸检证实冠状动脉血栓。

 

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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2093075, encodeId=daa320930e510, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=db335633426, createdName=ms8000000826696538, createdTime=Tue Oct 11 10:19:43 CST 2022, time=2022-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2089513, encodeId=9dac208951363, content=., beContent=null, objectType=guider, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=87d02571579, createdName=miss鱼, createdTime=Wed Sep 21 11:24:53 CST 2022, time=2022-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190725, encodeId=c5841190e25bb, content=<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>期待更新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, 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 13:50:18 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190724, encodeId=de711190e2493, content=很好的学习资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01af1957237, createdName=1e129e46m43(暂无匿称), createdTime=Mon Feb 07 13:49:59 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1070088, encodeId=c55310e0088e0, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c6f5602792, createdName=ms5000001420057313, createdTime=Sun Nov 14 10:18:40 CST 2021, time=2021-11-14, status=1, ipAttribution=)]
    2022-10-11 ms8000000826696538

    学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2093075, encodeId=daa320930e510, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=db335633426, createdName=ms8000000826696538, createdTime=Tue Oct 11 10:19:43 CST 2022, time=2022-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2089513, encodeId=9dac208951363, content=., beContent=null, objectType=guider, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=87d02571579, createdName=miss鱼, createdTime=Wed Sep 21 11:24:53 CST 2022, time=2022-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190725, encodeId=c5841190e25bb, content=<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>期待更新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, 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 13:50:18 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190724, encodeId=de711190e2493, content=很好的学习资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01af1957237, createdName=1e129e46m43(暂无匿称), createdTime=Mon Feb 07 13:49:59 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1070088, encodeId=c55310e0088e0, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c6f5602792, createdName=ms5000001420057313, createdTime=Sun Nov 14 10:18:40 CST 2021, time=2021-11-14, status=1, ipAttribution=)]
    2022-09-21 miss鱼

    .

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2093075, encodeId=daa320930e510, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=db335633426, createdName=ms8000000826696538, createdTime=Tue Oct 11 10:19:43 CST 2022, time=2022-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2089513, encodeId=9dac208951363, content=., beContent=null, objectType=guider, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=87d02571579, createdName=miss鱼, createdTime=Wed Sep 21 11:24:53 CST 2022, time=2022-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190725, encodeId=c5841190e25bb, content=<a href='/topic/show?id=974e51e2810' target=_blank style='color:#2F92EE;'>#心血管#</a>期待更新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, 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 13:50:18 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190724, encodeId=de711190e2493, content=很好的学习资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01af1957237, createdName=1e129e46m43(暂无匿称), createdTime=Mon Feb 07 13:49:59 CST 2022, time=2022-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1070088, encodeId=c55310e0088e0, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c6f5602792, createdName=ms5000001420057313, createdTime=Sun Nov 14 10:18:40 CST 2021, time=2021-11-14, status=1, ipAttribution=)]
    2022-02-07 1e129e46m43(暂无匿称)

    #心血管#期待更新

    0

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    2022-02-07 1e129e46m43(暂无匿称)

    很好的学习资料

    0

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    2021-11-14 ms5000001420057313

    谢谢分享

    0