Diastolic and Systolic Asynchrony in Patients With Diastolic Heart Failure: A Common But Ignored Condition
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- 作者：Cheuk-Man Yu ; Qing Zhang ; Gabriel W.K. Yip ; Pui-Wai Lee ; Leo C.C. Kum ; Yat-Yin Lam ; Jeffrey Wing-Hong Fung
- 关键词：AHA Scientific Statements ; thrombosis ; myocardial infarction ; stents ; myocardial stunning
- 刊名：Journal of the American College of Cardiology
- 出版年：2007
- 出版时间：2 January 2007-9 January 2007
- 年：2007
- 卷：49
- 期：1
- 页码：97-105
- 全文大小：771 K
文摘
Dual antiplatelet therapy with aspirin and a thienopyridine has been shown to reduce cardiac events after coronary stenting. However, many patients and healthcare providers prematurely discontinue dual antiplatelet therapy, which greatly increases the risk of stent thrombosis, myocardial infarction, and death. This advisory stresses the importance of 12 months of dual antiplatelet therapy after placement of a drug-eluting stent and educating the patient and healthcare providers about hazards of premature discontinuation. It also recommends postponing elective surgery for 1 year, and if surgery cannot be deferred, considering the continuation of aspirin during the perioperative period in high-risk patients with drug-eluting stents.