Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE 68198-2265, United States.
Curr Cardiol Rev. 2021;17(4):e310521172093. doi: 10.2174/1573403X15666190513101614.
Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women.
We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome.
High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD.
自发性冠状动脉夹层（SCAD）是女性急性冠状动脉综合征的一个未被充分认识的原因。
我们报告了一例 40 岁女性患者，在初次就诊的不同冠状动脉区域 10 天后因反复发作的 SCAD 出现复发性 ST 段抬高型心肌梗死。她两次均成功接受了药物洗脱支架治疗。磁共振成像显示存在透壁性梗死的证据，但她的射血分数仅轻度降低。她的短期预后良好。
对 SCAD 患者，早期诊断、及时的药物和介入治疗至关重要，需要高度警惕。
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