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一名健康男性的自发性冠状动脉夹层:病例报告及文献综述

Spontaneous Coronary Artery Dissection in a Healthy Male: A Case Report and Literature Review.

作者信息

Abdelmaseih Ramy, Hasan Mustajab, Patel Jay, Elhag Alauddin, Patel Jigar

机构信息

Internal Medicine, Ocala Regional Medical Center/University of Central Florida College of Medicine, Ocala, USA.

Cardiology, Ocala Regional Medical Center, Ocala, USA.

出版信息

Cureus. 2020 Apr 7;12(4):e7568. doi: 10.7759/cureus.7568.

DOI:10.7759/cureus.7568
PMID:32391217
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7205360/
Abstract

Spontaneous coronary artery dissection (SCAD) is a rare presentation of acute coronary syndrome (ACS) and can potentially lead to sudden cardiac death. SCAD is particularly seen in young females and/or patients with relatively few cardiovascular risk factors which further makes it a diagnostic conundrum. This article aims to highlight the causes, clinical presentation, treatment options, and complications of SCAD in addition to a case report of a young gentleman who was found to have SCAD.

摘要

自发性冠状动脉夹层(SCAD)是急性冠状动脉综合征(ACS)的一种罕见表现,可能导致心源性猝死。SCAD在年轻女性和/或心血管危险因素相对较少的患者中尤为常见,这进一步使其成为一个诊断难题。本文旨在强调SCAD的病因、临床表现、治疗选择和并发症,并报告一例被诊断为SCAD的年轻男性病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de5/7205360/8a19e6462cbd/cureus-0012-00000007568-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de5/7205360/4d18ccefb2ba/cureus-0012-00000007568-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de5/7205360/8a19e6462cbd/cureus-0012-00000007568-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de5/7205360/4d18ccefb2ba/cureus-0012-00000007568-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de5/7205360/8a19e6462cbd/cureus-0012-00000007568-i02.jpg

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本文引用的文献

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Contemporary Review on Spontaneous Coronary Artery Dissection.自发性冠状动脉夹层的当代研究综述
J Am Coll Cardiol. 2016 Jul 19;68(3):297-312. doi: 10.1016/j.jacc.2016.05.034.
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Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome--A single-centre Australian experience.作为急性冠状动脉综合征病因的自发性冠状动脉夹层的发病率及特征——澳大利亚单中心经验
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Spontaneous coronary artery dissection: long-term follow-up of a large series of patients prospectively managed with a "conservative" therapeutic strategy.自发性冠状动脉夹层:前瞻性管理的大系列患者的长期随访采用“保守”治疗策略。
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Clinical features, management, and prognosis of spontaneous coronary artery dissection.自发性冠状动脉夹层的临床特征、处理和预后。
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