Halna du Fretay X, Dibon O, Naël J
Service de cardiologie, hôpital Foch, 40, rue Worth, 92150 Suresnes, France; Service de cardiologie, centre hospitalier universitaire Bichat - Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France; Service de cardiologie, centre hospitalier régional d'Orléans, 14, avenue de l'Hôpital, 45067 Orléans, France.
Service de cardiologie, centre hospitalier régional d'Orléans, 14, avenue de l'Hôpital, 45067 Orléans, France.
Ann Cardiol Angeiol (Paris). 2015 Dec;64(6):505-12. doi: 10.1016/j.ancard.2015.09.061. Epub 2015 Oct 31.
Acute coronary syndrome results in most cases of atherosclerotic plaque rupture. In a few cases, the physiopathological mechanism is different. This does not necessarily change the initial strategy but the subsequent treatments. We report three cases of clinical presentations of acute coronary syndrome whose pathophysiological mechanism is not or not mainly due to atherosclerotic lesions. Based on these cases and a review of the literature, two topics will be tackled: the diagnostic and therapeutic strategy in the management of Tako-tsubo cardiomyopathies and also acute coronary syndromes due to vasospastic angina.
急性冠状动脉综合征大多由动脉粥样硬化斑块破裂所致。少数情况下，其病理生理机制有所不同。这不一定会改变初始治疗策略，但会影响后续治疗。我们报告了3例急性冠状动脉综合征的临床表现，其病理生理机制并非或并非主要由动脉粥样硬化病变引起。基于这些病例并结合文献复习，将探讨两个主题：应激性心肌病的诊断和治疗策略，以及变异性心绞痛所致急性冠状动脉综合征。
