一例自发性冠状动脉夹层伴早期新发复发。
A case of spontaneous coronary artery dissection with early de novo recurrence.
作者信息
Okura Takafumi, Takahashi Koji, Sakaue Tomoki, Ueda Sou, Enomoto Daijiro, Yamamoto Daichi, Sasaki Daisuke, Kono Taizo, Uemura Shigeki
机构信息
Department of Community and Emergency Medicine, Ehime University Graduate School of Medicine, Ehime, Japan.
Ehime University Hospital, Ehime, Japan.
出版信息
J Cardiol Cases. 2019 May 17;20(1):1-3. doi: 10.1016/j.jccase.2019.01.006. eCollection 2019 Jul.
Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome compared with atherosclerotic plaque rupture and predominantly occurs in young women. SCAD is associated with various conditions, such as emotional stress, pregnancy, hormonal therapy, collagen diseases, fibromuscular dysplasia, or vasospasm. Long-term cardiovascular events are common including the recurrence of SCAD. We report a case of SCAD with de novo recurrence at only 4 days after the first attack. < Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome (ACS) compared with atherosclerotic plaque rupture, but if young to middle-aged women develop ACS, a high suspicion of SCAD is warranted. Recurrence of SCAD is common with 4- to 10-year follow-up. However, SCAD recurred early as in our case.>.
与动脉粥样硬化斑块破裂相比，自发性冠状动脉夹层（SCAD）是急性冠状动脉综合征相对少见的病因，且主要发生于年轻女性。SCAD与多种情况相关，如情绪应激、妊娠、激素治疗、胶原病、纤维肌发育不良或血管痉挛。长期心血管事件很常见，包括SCAD复发。我们报告1例SCAD患者，首次发作仅4天后即出现新发复发。<与动脉粥样硬化斑块破裂相比，自发性冠状动脉夹层（SCAD）是急性冠状动脉综合征（ACS）相对少见的病因，但如果中青年女性发生ACS，则高度怀疑SCAD是合理的。SCAD复发在4至10年的随访中很常见。然而，如我们的病例所示，SCAD复发较早。>
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