Kim Seong Hwan, Kim Min-Kyu, Kim Eung Ju, Park Woo Jung, Choi Young Jin, Rhim Chong Yun
Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea.
Angiology. 2008 Jun-Jul;59(3):382-4. doi: 10.1177/0003319707304324. Epub 2008 Apr 2.
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome or sudden cardiac death, occurring predominantly in the female sex without cardiovascular risk factors. Although the etiology and pathogenesis remain uncertain, hypertension has not appeared to be one of the most important factors. This case report describes a patient with spontaneous coronary artery dissection in proximal right coronary artery who presented the signs and symptoms of acute aortic dissection. The authors postulate that hypertension may have been an important factor for the pathogenesis of the spontaneous coronary artery dissection.
自发性冠状动脉夹层是急性冠状动脉综合征或心源性猝死的罕见病因，主要发生于无心血管危险因素的女性。尽管病因和发病机制尚不确定，但高血压似乎并非最重要的因素之一。本病例报告描述了一名右冠状动脉近端发生自发性冠状动脉夹层的患者，其表现出急性主动脉夹层的体征和症状。作者推测，高血压可能是自发性冠状动脉夹层发病机制中的一个重要因素。
