AMI
2012. 6. 2
---
24
(1)Chest pain center CPC
(2)ACSSTEMIIRAAAD4850%
PTE
(3)30002002.1024 0531-82169595
---24
AMIPCI+PCI(1)PCISTSTEMIAMI
AMIPCI+PCI(2)PCITIMI380%
PCIIRA
--
120
ECG6h
(1)
(2)10%-30%
---
ST ST CK CK CKCK Q Q Q / Q ST ST
(vulnerable patient)--: (vulnerable plaque): (vulnerable blood): (vulnerable myocardium):
Naghavi M et al. Circulation,2003;108:1664
ST (ST ST) (VF, VT)
STT, ECG
ECG STGPIIb/IIIa -(ACS)
---
PCI
PCI2008ACCTransfer --AMISTEMIPCIPCIMACEPCI
2010STEMI2PCIPCIPCI3-24PCI
CAPTIM Bonnefoy, E., F. Lapostolle, A. Leizorovicz, et al., Lancet, 2002. 360(9336): p. 825-9.Bonnefoy, E., et al., (CAPTIM) trial: a 5-year follow-up. Eur Heart J, 2009. 30(13): p. 1598-606.STEMI(N=840)PCI(n=419)PCI(n=421)
30 -- 5
%+PCI 30 +PCI5(5.8% vs 11.1% ,P=0.04) p=0.06p=0.12p=0.13p=0.29p=0.61** --Bonnefoy, E., F. Lapostolle, A. Leizorovicz, et al., Lancet, 2002. 360(9336): p. 825-9.
PCIPCI/
PCI
PCI1999PACTPCIPCI
GPb /aPCI
ADMIRALPCIn=300PCITIMI 3P=0.0130)P=0.01
/GPb/aPCI2008 ACCON-TIME 2STEMIPCI1STR30MACE PCI
AMIAMI(1)
AMIAMI(2)24
--
*CAPTIM PCIPCISTEMIPCIPCI30-- 5*30--
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