摘要 美国心脏病学会（ACC）、美国心脏协会（AHA）、心血管造影和介入学会（society for cardiovascular angiography and interventions,SCAI）2021年12月联合发布了新版冠状动脉（简称冠脉）血运重建指南。新指南结合近年来冠脉血运重建的循证医学证据和临床诊疗实践，对稳定性缺血性心脏病、非ST段抬高型急性冠脉综合征和ST段抬高型心肌梗死的血运重建策略进行更新，涵盖了冠脉疾病的药物、介入以及外科治疗等综合管理策略，从病变评估到方案选择、从治疗到康复等方面进行了阐述。本文就新指南亮点进行了解读，旨在为临床实践提供参考。
Abstract：In December 2021, ACC/AHA/SCAI jointly released the new version of Guideline for coronary artery revascularization. Combined with the evidencebased medicine evidences of coronary revascularization, and clinical practice of diagnosis and treatment in recent years, the guideline updates the coronary revascularization strategies for patients with stable ischemic heart disease, nonSTsegment elevation acute coronary syndrome and STsegment elevation myocardial infarction. It covers the comprehensive management strategies such as medicine, intervention and surgical therapy for coronary artery disease. The guideline illustrates from the aspects of lesion assessment, scheme selection, treatment and recovery. This paper interprets the guideline’s highlights so as to provide references for clinical practice.
