本文已被:浏览 129次 下载 82次
投稿时间:2024-10-30 网络发布日期:2025-12-25
投稿时间:2024-10-30 网络发布日期:2025-12-25
中文摘要: 急性心肌梗死(AMI)是慢性阻塞性肺疾病(COPD)患者的常见合并症,且是最危险的心血管不良事件。二者不仅具有 共同的危险因素,而且会通过病理生理机制相互影响。近年来研究发现COPD患者AMI风险显著升高,而COPD的规范治疗 会降低COPD患者合并AMI风险;同时AMI后的药物治疗同样会影响COPD的急性加重或死亡风险。本文总结了近年来国内 外COPD合并AMI的研究成果,从共同的危险因素、病理生理机制、风险评估、药物治疗等方面进行综述,以期为COPD合并 AMI患者的多学科管理和有效治疗提供参考。
Abstract:Acute myocardial infarction (AMI) is the most common complications and risky adverse cardiovascular events in patients with chronic obstructive pulmonary disease (COPD), and both diseases share common risk factors and pathophysiological mechanisms. In recent years, it has been shown that the risk of AMI is significantly increased in patients with COPD. The standardized treatment of COPD can reduce the risk of AMI. Meanwhile, the medications for secondary prevention after AMI have been associated with reduced risk of acute exacerbation of COPD or mortality in patients with COPD. The research findings related to AMI complicated with COPD from home and abroad were summarized in this review from the aspects of common risk factors, pathophysiological mechanisms, risk assessment and treatment of medication, in order to provide a reference for the integrated multidisciplinary management and effective treatment for these patients.
keywords: Chronic obstructive pulmonary disease Acute myocardial infarction Risk assessment Treatment
文章编号: 中图分类号:R563.9 R542.22 文献标志码:A
基金项目:国家自然科学基金面上项目(82173472)
附件
引用文本:
宫红静,吴艳.慢性阻塞性肺疾病合并急性心肌梗死的研究进展[J].中国临床研究,2025,38(12):1940-1944.
宫红静,吴艳.慢性阻塞性肺疾病合并急性心肌梗死的研究进展[J].中国临床研究,2025,38(12):1940-1944.
