血管内超声诊断自发性冠状动脉夹层导致急性非ST段抬高性心肌梗死1例
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摘要
<正>自发性冠状动脉夹层(SCAD)是一种由外伤或其他非医源性因素导致的罕见的自发分离的冠状动脉疾病,在临床上可致急性冠脉事件甚至猝死。临床对该疾病的概念、临床诊断及治疗等均无一致共识,目前诊断主要依据造影、血管内超声(IVUS)、光学相关断层扫描等技术手段,治疗亦因人而异,包括保守治疗和血运重建~([1]),其病因尚不清楚,且中年妇女为多发人群,或与冠状动脉粥样硬化、体内雌激素水平、疲劳、情绪上的不确
引文
[1]Saw J.Natural history of spontaneous coronary artery dissection:to stent or not to stent[J].EuroIntervention,2019,14(13):1353-1356.
[2]李猛,甘甜,乌日娜,等.自发性冠状动脉夹层治疗策略与远期预后的相关性研究[J].中国循证心血管医学杂志,2017,9(2):218-221.
[3]郑亚国,许田,陈亮,等.自发性冠状动脉夹层的临床特征及腔内影像学评估[J].中国介入心脏病学杂志,2018,26(12):680-685.
[4]张峰,葛均波,钱菊英,等.自发性冠状动脉夹层致急性心肌梗死一例[J].中华急诊医学杂志,2005,14(8):698-698.
[5]Mahmood M M,Austin D.IVUS and OCT guided primary percutaneous coronary intervention for spontaneous coronary artery dissection with bioresorbable vascular scaffolds[J].Cardiovasc Revasc Med,2017,18(1):53-57.
[6]陈璐,秦明照.女性自发性冠状动脉夹层的流行病学特点、危险因素及预后[J].中国循环杂志,2018,33(12):1242-1244.
[7]Saw J,Aymong E,Sedlak T,et al.Spontaneous coronary artery dissection:association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes[J].Circ Cardiovasc Interv,2014,7(5):645-655.
[8]Gαsior P,Gierlotka M,Szczurek-Katanski K,et al.Safety and efficacy of biodegradable polymer-coated thin strut sirolimus-eluting stent vs.durable polymer-coated everolimus-eluting stent in patients with acute myocardial infarction[J].Postepy Kardiol Interwencyjnej,2018,14(4):347-355.
[9]Mahmood M M,Austin D.IVUS and OCT guided primary percutaneous coronary intervention for spontaneous coronary artery dissection with bioresorbable vascular scaffolds[J].Cardiovasc Revasc Med,2017,18(1):53-57.
[10]Lee R,Ben-Dor I.Revascularization methods in spontaneous coronary artery dissection:A focused review[J].Cardiovasc Revasc Med,2017,18(7):544-548.
[11]Tweet M S,Akhtar N J,Hayes S N,et al.Spontaneous coronary artery dissection:Acute findings on coronary computed tomography angiography[J].Eur Heart J Acute Cardiovasc Care,2018:2048872617753799.
[2]李猛,甘甜,乌日娜,等.自发性冠状动脉夹层治疗策略与远期预后的相关性研究[J].中国循证心血管医学杂志,2017,9(2):218-221.
[3]郑亚国,许田,陈亮,等.自发性冠状动脉夹层的临床特征及腔内影像学评估[J].中国介入心脏病学杂志,2018,26(12):680-685.
[4]张峰,葛均波,钱菊英,等.自发性冠状动脉夹层致急性心肌梗死一例[J].中华急诊医学杂志,2005,14(8):698-698.
[5]Mahmood M M,Austin D.IVUS and OCT guided primary percutaneous coronary intervention for spontaneous coronary artery dissection with bioresorbable vascular scaffolds[J].Cardiovasc Revasc Med,2017,18(1):53-57.
[6]陈璐,秦明照.女性自发性冠状动脉夹层的流行病学特点、危险因素及预后[J].中国循环杂志,2018,33(12):1242-1244.
[7]Saw J,Aymong E,Sedlak T,et al.Spontaneous coronary artery dissection:association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes[J].Circ Cardiovasc Interv,2014,7(5):645-655.
[8]Gαsior P,Gierlotka M,Szczurek-Katanski K,et al.Safety and efficacy of biodegradable polymer-coated thin strut sirolimus-eluting stent vs.durable polymer-coated everolimus-eluting stent in patients with acute myocardial infarction[J].Postepy Kardiol Interwencyjnej,2018,14(4):347-355.
[9]Mahmood M M,Austin D.IVUS and OCT guided primary percutaneous coronary intervention for spontaneous coronary artery dissection with bioresorbable vascular scaffolds[J].Cardiovasc Revasc Med,2017,18(1):53-57.
[10]Lee R,Ben-Dor I.Revascularization methods in spontaneous coronary artery dissection:A focused review[J].Cardiovasc Revasc Med,2017,18(7):544-548.
[11]Tweet M S,Akhtar N J,Hayes S N,et al.Spontaneous coronary artery dissection:Acute findings on coronary computed tomography angiography[J].Eur Heart J Acute Cardiovasc Care,2018:2048872617753799.