冠状动脉造影“正常”的心脏骤停患者的血管内成像
Intravascular imaging for cardiac arrest with "normal" coronary arteriography.
作者信息
Choudhury Tawfiq, Solomonica Amir, Bagur Rodrigo, Lavi Shahar
机构信息
London Health Sciences Centre, London, Ontario, Canada; Western University, London, Ontario, Canada.
London Health Sciences Centre, London, Ontario, Canada; Western University, London, Ontario, Canada.
出版信息
Cardiovasc Revasc Med. 2018 Dec;19(8S):53-55. doi: 10.1016/j.carrev.2018.04.016. Epub 2018 Apr 14.
Spontaneous coronary artery dissection (SCAD) is an under-recognised presentation of acute coronary syndrome. A high index of suspicion is essential. If diagnostic doubt is high, intracoronary imaging, performed carefully, can be useful, although it can result in worsening of the clinical condition. The current report exemplifies the complexity of diagnosis and management of SCAD in a patient with out-of-hospital cardiac arrest and non-diagnostic angiography.
自发性冠状动脉夹层（SCAD）是急性冠状动脉综合征的一种未被充分认识的表现形式。高度的怀疑指数至关重要。如果诊断疑虑很高，谨慎进行的冠状动脉内成像可能会有帮助，尽管它可能会导致临床状况恶化。本报告例证了一名院外心脏骤停且血管造影未明确诊断的患者中SCAD诊断和管理的复杂性。
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