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A case of influenza type a myocarditis that presents with ST elevation MI, cardiogenic shock, acute renal failure, and rhabdomyolysis and with rapid recovery after treatment with oseltamivir and intra-aortic balloon pump support Aspirin-Free Prasugrel Monotherapy Following Coronary Artery Stenting in Patients With Stable CAD: The ASET Pilot Study Complete revascularisation versus treatment of the culprit lesion only in patients with ST-segment elevation myocardial infarction and multivessel disease (DANAMI-3—PRIMULTI): an open-label, randomised controlled trial 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons Mechanisms of Vascular Aging, A Geroscience Perspective JACC Focus Seminar Decade-Long Trends (2001 to 2011) in the Use of Evidence-Based Medical Therapies at the Time of Hospital Discharge for Patients Surviving Acute Myocardial Biological Versus Chronological Aging: JACC Focus Seminar Antithrombotic Therapy after Acute Coronary Syndrome or PCI in Atrial Fibrillation Analysis of reperfusion time trends in patients with ST-elevation myocardial infarction across New York State from 2004 to 2012 Effect of Plaque Burden and Morphology on Myocardial Blood Flow and Fractional Flow Reserve

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血管重构之正性重构

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经冠脉CTA,冠脉磁共振(coronary magnetic resonance imaging, coronary MRI), OCT或IVUS等腔内影像,NIRS联合IVUS,可从不同角度观测到贯穿于心脏的各条蜿蜒曲折,宽窄不一的血管成像。若血管外弹力膜(extravascular elastic membrane, EEM)面积介于病变部位近端和远端EEM面积之间,则表示无血管重构。血管重构包括正性重构(positive remodeling)和负性重构(negative remodeling, 若面积大于病变部位近端和远端EEM的面积,称为血管正性重构,反之当EEM面积小于病变部位近端和远端EEM面积,称为血管负性重构,参数上可通过重构指数,即病变部位EEM面积与近远端EEM面积平均值的比(Remodeling Index,RI)来表示,RI>1.0 表示正性重构, RI<1.0 表示负性重构。


IVUS获得的有关血管正性重构的发生率、疾病表现及血管正性重构与临床预后间的关系的相关文献按发表时间排列如下,

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