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中华脑血管病杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 58 -62. doi: 10.3877/cma.j.issn.1673-9248.2025.01.010

综述

心肌梗死合并脑梗死的抗栓治疗策略进展
张文怡1, 江雪1, 王子雨1, 吴昊晟1, 鱼盼盼1, 郭彩霞1,()   
  1. 1. 100730 北京,首都医科大学附属北京同仁医院心血管中心
  • 收稿日期:2024-07-23 出版日期:2025-02-01
  • 通信作者: 郭彩霞
  • 基金资助:
    北京市高层次公共卫生技术人才-领军人才项目(领军人才-03-02)

Research progress on the antithrombotic therapy strategies of myocardial infarction complicating with cerebral infarction

Wenyi Zhang1, Xue Jiang1, Ziyu Wang1, Haosheng Wu1, Panpan Yu1, Caixia Guo1,()   

  1. 1. Cardiovascular Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2024-07-23 Published:2025-02-01
  • Corresponding author: Caixia Guo
引用本文:

张文怡, 江雪, 王子雨, 吴昊晟, 鱼盼盼, 郭彩霞. 心肌梗死合并脑梗死的抗栓治疗策略进展[J/OL]. 中华脑血管病杂志(电子版), 2025, 19(01): 58-62.

Wenyi Zhang, Xue Jiang, Ziyu Wang, Haosheng Wu, Panpan Yu, Caixia Guo. Research progress on the antithrombotic therapy strategies of myocardial infarction complicating with cerebral infarction[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2025, 19(01): 58-62.

心肌梗死以及缺血性脑卒中是全球范围内心血管疾病死亡的主要原因,目前其在我国的患病率和病死率持续上升。尽管发生率较低,但心肌梗死合并脑梗死病情复杂,临床治疗难度较大,给患者带来了更高风险。本文对心肌梗死合并脑梗死的流行病学、发生机制、治疗策略尤其是抗栓治疗策略的相关研究进行综述,并参考国内外指南及专家共识,旨在为临床心肌梗死合并脑梗死的处理提供参考。

Myocardial infarction(MI) and ischemic stroke are leading causes of death from cardiovascular diseases globally . In China, the incidence and mortality rates of both conditions have been on the rise. Although the occurrence of MI complicated by cerebral infarction is relatively rare, it represents a complex clinical challenge, characterized by high treatment difficulty and significant risk to patients. This article reviews the epidemiology, pathogenesis, treatment strategies, especially antithrombotic treatment strategies of these conditions.It also references clinical guidelines and expert consensus to provide a rational management approach for patients presenting with simultaneous acute myocardial infarction and acute ischemic stroke in clinical practice.

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