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印度稳定型冠状动脉疾病管理标准

Management standards for stable coronary artery disease in India.

作者信息

Mishra Sundeep, Ray Saumitra, Dalal Jamshed J, Sawhney J P S, Ramakrishnan S, Nair Tiny, Iyengar S S, Bahl V K

机构信息

Department of Cardiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

AMRI Hospital, Kolkata, India.

出版信息

Indian Heart J. 2016 Dec;68 Suppl 3(Suppl 3):S31-S49. doi: 10.1016/j.ihj.2016.11.320. Epub 2016 Dec 9.

Abstract

Coronary artery disease (CAD) is one of the important causes of cardiovascular morbidity and mortality globally, giving rise to more than 7 million deaths annually. An increasing burden of CAD in India is a major cause of concern with angina being the leading manifestation. Stable coronary artery disease (SCAD) is characterised by episodes of transient central chest pain (angina pectoris), often triggered by exercise, emotion or other forms of stress, generally triggered by a reversible mismatch between myocardial oxygen demand and supply resulting in myocardial ischemia or hypoxia. A stabilised, frequently asymptomatic phase following an acute coronary syndrome (ACS) is also classified as SCAD. This definition of SCAD also encompasses vasospastic and microvascular angina under the common umbrella.

摘要

冠状动脉疾病(CAD)是全球心血管疾病发病和死亡的重要原因之一,每年导致超过700万人死亡。印度CAD负担的不断增加是一个主要关注点,其中心绞痛是主要表现形式。稳定型冠状动脉疾病(SCAD)的特征是短暂性中央胸痛(心绞痛)发作,通常由运动、情绪或其他形式的压力引发,一般是由心肌需氧量和供氧量之间的可逆性不匹配导致心肌缺血或缺氧引起的。急性冠状动脉综合征(ACS)后的稳定期,通常无症状,也归类为SCAD。SCAD的这一定义还将血管痉挛性心绞痛和微血管性心绞痛纳入同一范畴。

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