多囊肾病中的自发性冠状动脉夹层
Spontaneous coronary dissection in polycystic kidney disease.
作者信息
Afari Maxwell E, Quddus Abdullah, Bhattarai Manoj, John Amrita R, Broderick Ryan J
机构信息
Internal Medicine Resident at the Warren Alpert Medical School of Brown University (Memorial Hospital of Rhode Island).
出版信息
R I Med J (2013). 2013 Dec 3;96(12):44-5.
We report a case of a 46-year-old woman with hypertension and autosomal dominant polycystic kidney disease who presented with chest pain and was found to have spontaneous coronary artery dissection (SCAD) on diagnostic catheterization. We review the pathogenesis, management and prognosis of SCAD. We conclude that in patients with polycystic kidney disease who present with angina pectoris and positive cardiac biomarkers, coronary artery dissection should be considered.
我们报告了一例46岁患有高血压和常染色体显性遗传性多囊肾病的女性患者，该患者因胸痛就诊，诊断性心导管检查发现患有自发性冠状动脉夹层（SCAD）。我们回顾了SCAD的发病机制、治疗及预后。我们得出结论，对于患有多囊肾病且出现心绞痛和心脏生物标志物阳性的患者，应考虑冠状动脉夹层。
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