Servicio de Cardiología, Hospital Clínico San Carlos, Universidad Complutense, IdISSC, Madrid, Spain.
Open Heart. 2018 Nov 5;5(2):e000884. doi: 10.1136/openhrt-2018-000884. eCollection 2018.
Spontaneous coronary artery dissection is an increasingly recognised cause of acute coronary syndromes, especially in young and middle-age women. Recognising its particularities and differences with atherosclerotic disease is central for appropriately identifying and approaching these patients. The authors review the current state of knowledge on spontaneous coronary artery dissection and provide practical recommendations for the diagnosis and management of this condition, both in the acute and convalescence phases.
自发性冠状动脉夹层是急性冠状动脉综合征越来越被认识的一个病因,尤其是在年轻和中年女性中。认识到它与动脉粥样硬化疾病的特殊性和差异,对于正确识别和处理这些患者至关重要。作者回顾了自发性冠状动脉夹层的现有知识,并就该疾病的诊断和治疗提供了实用建议,包括急性期和恢复期。