Anderson Robert D, Jayadeva Pavithra S, Wilson William M, Iyer Ravi
Royal Melbourne Hospital, Melbourne, Vic, Australia.
Royal Melbourne Hospital, Melbourne, Vic, Australia.
Heart Lung Circ. 2016 Mar;25(3):e41-5. doi: 10.1016/j.hlc.2015.10.006. Epub 2015 Oct 27.
Spontaneous coronary artery dissection (SCAD) is a rare cause of non-atherosclerotic acute coronary syndrome (ACS). As it is more commonly seen in young women, the diagnosis can be missed. Current evidence is based on case reports and retrospective studies with no consensus recommendations on immediate management and long-term follow-up. We present a case series of four patients to outline clinical presentation, prognosis and long-term management of this rare clinical entity.
自发性冠状动脉夹层（SCAD）是一种非动脉粥样硬化性急性冠状动脉综合征（ACS）的罕见病因。由于其在年轻女性中更为常见，诊断可能会被漏诊。目前的证据基于病例报告和回顾性研究，对于即刻处理和长期随访尚无共识性建议。我们展示了一组4例患者的病例系列，以概述这种罕见临床病症的临床表现、预后和长期管理。
