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正确判断急性心肌梗塞(AMI)的梗塞相关动脉(Infarct-Related Artery,IRA)对于选择积极的治疗策略,以获得心肌再灌注和减少梗塞面积是至关重要的。现多认为冠状动脉造影(CAG)是判断急性心肌梗塞(AMI)时梗塞相关动脉(IRA)的金标准。1 材料与方法1.1 病例选择:选取首次急性心肌梗塞(AMI)患者68例。其中男性41例,女性27例,平均年龄53.7±9.4岁。根据临床诊断确诊为AMI,发病36h以内就诊并行CAG者。除外合并慢性阻塞性肺部疾病,除外合并陈旧性心肌梗塞者,除外合
Correctly judging Infarct-Related Artery (IRA) in acute myocardial infarction (AMI) is crucial for choosing a positive treatment strategy for myocardial reperfusion and reduction of infarct size. Coronary angiography (CAG) is now mostly considered the gold standard for determining infarct-related artery (IRA) in patients with acute myocardial infarction (AMI). 1 Materials and Methods 1.1 Case Selection: Select the first 68 cases of acute myocardial infarction (AMI) patients. There were 41 males and 27 females, with an average age of 53.7 ± 9.4 years. According to clinical diagnosis diagnosed as AMI, 36h within the onset of treatment of patients with concurrent CAG. Except for chronic obstructive pulmonary disease, with the exception of those with old myocardial infarction, except