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孤立性左主干冠状动脉狭窄与纵隔放疗。

Isolated left main coronary stenosis and mediastinal irradiation.

作者信息

Chinnasami B R, Schwartz R C, Pink S B, Skotnicki R A

机构信息

Department of Medicine, Polyclinic Medical Center, Harrisburg, Pennsylvania 17110.

出版信息

Clin Cardiol. 1992 Jun;15(6):459-61. doi: 10.1002/clc.4960150614.

DOI:10.1002/clc.4960150614
PMID:1617827
Abstract

This report draws an association between mediastinal irradiation and isolated left main coronary artery stenosis. The report highlights two patients who developed selective left main coronary artery stenosis post mediastinal treatment. In the animal model, it has been shown that high serum cholesterol levels at the time of, or soon after, irradiation are necessary to initiate arteriosclerotic plaque formation.

摘要

本报告阐述了纵隔放疗与孤立性左主干冠状动脉狭窄之间的关联。该报告重点介绍了两名患者,他们在纵隔治疗后出现了选择性左主干冠状动脉狭窄。在动物模型中,研究表明,放疗时或放疗后不久的高血清胆固醇水平是引发动脉粥样硬化斑块形成的必要条件。

相似文献

1
Isolated left main coronary stenosis and mediastinal irradiation.孤立性左主干冠状动脉狭窄与纵隔放疗。
Clin Cardiol. 1992 Jun;15(6):459-61. doi: 10.1002/clc.4960150614.
2
Radiation-induced stenosis of the left main coronary artery.放射性所致左冠状动脉主干狭窄。
Cathet Cardiovasc Diagn. 1993 Mar;28(3):225-7. doi: 10.1002/ccd.1810280307.
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[Mediastinal radiation therapy and occlusion of the ostium of the left main coronary artery].
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[Ostium stenosis of both coronary arteries and latent hypothyroidism as sequelae of radiotherapy in Hodgkin disease].[霍奇金病放疗后遗症之双侧冠状动脉口狭窄及隐匿性甲状腺功能减退]
Z Kardiol. 1985 Aug;74(8):485-8.
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Coronary arterial spasm and cardiac arrest following mediastinal radiation therapy for Hodgkin's disease.
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Radiation-induced coronary artery disease.放射性冠状动脉疾病
JAMA. 1974 Jun 24;228(13):1660-2.
7
Silent ischemic cardiomyopathy and left coronary ostial stenosis secondary to radiation therapy.放疗继发的无症状性缺血性心肌病和左冠状动脉开口狭窄
Clin Cardiol. 1996 Mar;19(3):260-2. doi: 10.1002/clc.4960190325.
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Use of internal mammary artery in myocardial revascularization after mediastinal irradiation.纵隔放疗后乳内动脉在心肌血运重建中的应用。
J Thorac Cardiovasc Surg. 1992 Dec;104(6):1539-44.
9
Left main coronary artery stenosis following mediastinal irradiation.纵隔放疗后左主干冠状动脉狭窄
Am J Med. 1987 May;82(5):1017-20. doi: 10.1016/0002-9343(87)90167-7.
10
Coronary heart disease after mediastinal irradiation for Hodgkin's disease.
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