複選題
複選題
26 根據 AHA/ACC guidelines for coronary artery bypass grafting（CABG），下列何者並非冠狀動脈繞道 手術之 class I 適應症？
(A)只有單一左前降支近端 80%狹窄
(B)右冠狀動脈中段堵塞合併急性心肌梗塞
(C)急性心肌梗塞合併梗塞後心室中隔破裂
(D)三條冠狀動脈堵塞合併心室收縮功能不良

答案：登入後查看
統計： A(57), B(51), C(18), D(7), E(0) #1041354

詳解 (共 3 筆)

#4009105
Coronary Artery Bypa...
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#6015664
Per the most current American College of Cardiology/American Heart Association guidelines, the only class Ia indication for PCI is acute STEMI. In all other indications, CABG has superior class based on current evidence 
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Sabiston pg 1686 
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(A) 只有單一左前降支近端 80%狹窄
  • Wrong b/c this is class II indication for CABG, not class I
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#6048757
Class I: Conditions for which there is evidence and/or general agreement that a given procedure or treatment is useful and effective.
有證據和/或普遍同意給予治療是有用且有效的情況

Ⅰ

Left main左主冠狀動脈狹窄超過50%

3 vessels with/without proximal LAD左心室功能不良患者的三支血管病變，並且近端LAD狹窄。無症狀患者或輕度或穩定心絞痛患者的三支血管病變。

2 vessels with proximal LAD左前降支（LAD）和近端迴旋支動脈狹

Ⅱa

2 vessels without proximal LAD with extensive ischemia

Multi-vessels with DM

Proximal LAD only with LITA for long term benefit

Ⅱb

2 vessels without proximal LAD without extensive ischemia

Ⅲ

1 vessels without proximal LAD
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