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一例经药物治疗愈合的自发性冠状动脉夹层:冠状动脉造影、血管内超声和多排螺旋 CT 的系列发现。

A case of spontaneous coronary artery dissection healed by medical treatment: serial findings of coronary angiography, intravascular ultrasound and multi-detector computed tomography.

机构信息

Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.

出版信息

Korean Circ J. 2011 Jun;41(6):346-8. doi: 10.4070/kcj.2011.41.6.346. Epub 2011 Jun 30.

DOI:10.4070/kcj.2011.41.6.346
PMID:21779291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3132700/
Abstract

Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome which may be related to lethal condition. Although several modalities including medical therapy have been suggested, agreement on optimal treatment has not yet been determined. We describe a case of SCAD which was presented as ST-segment elevation myocardial infarction, and treated successfully with medical treatment. Coronary angiography, intravascular ultrasound and multi-detector computed tomography showed the serial changes of this disease entity.

摘要

自发性冠状动脉夹层(SCAD)是急性冠状动脉综合征的一种不常见病因,可能与致死情况相关。尽管包括药物治疗在内的几种方式已经被提出,但对于最佳治疗方案仍未达成一致意见。我们描述了一例 SCAD 患者,其表现为 ST 段抬高型心肌梗死,并通过药物治疗成功治疗。冠状动脉造影、血管内超声和多排螺旋 CT 显示了该疾病实体的连续变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f679/3132700/1c024bb214d9/kcj-41-346-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f679/3132700/a980c4d3fd44/kcj-41-346-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f679/3132700/1c024bb214d9/kcj-41-346-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f679/3132700/a980c4d3fd44/kcj-41-346-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f679/3132700/1c024bb214d9/kcj-41-346-g002.jpg

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