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自发性冠状动脉夹层：年轻男性ST段抬高型心肌梗死的罕见病因。

Spontaneous Coronary Artery Dissection: An Unusual Cause of ST-Elevation Myocardial Infarction in Young Males.

作者信息

Rahman Tanvir, Moghadam Reihaneh, Rinder Morton

机构信息

Internal Medicine, St Luke's Hospital, Chesterfield, USA.

Internal Medicine, St. Luke's Hospital, Chesterfield, USA.

出版信息

Cureus. 2021 Jan 20;13(1):e12827. doi: 10.7759/cureus.12827.

DOI:10.7759/cureus.12827
PMID:33628690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7895732/
Abstract

Spontaneous coronary artery dissection (SCAD) is a non-traumatic, non-iatrogenic, and non-atherosclerotic coronary artery disorder that manifests clinically as an acute coronary syndrome (ACS), arrhythmia, or sudden cardiac death (SCD). It is a rare cause of ACS (1.7-4%) and SCD (0.5%), more commonly in women than men. It is rarely reported in males. We report a case of acute ST-elevation myocardial infarction (STEMI) due to SCAD in a 44-year-old healthy male.

摘要

自发性冠状动脉夹层（SCAD）是一种非创伤性、非医源性且非动脉粥样硬化性的冠状动脉疾病，临床上表现为急性冠状动脉综合征（ACS）、心律失常或心源性猝死（SCD）。它是ACS（1.7 - 4%）和SCD（0.5%）的罕见病因，女性比男性更常见。男性中鲜有报道。我们报告一例44岁健康男性因SCAD导致的急性ST段抬高型心肌梗死（STEMI）病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/a96f4d4c7900/cureus-0013-00000012827-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/9db9eb5cfcb4/cureus-0013-00000012827-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/2e60eb9eda44/cureus-0013-00000012827-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/bdd3ec411285/cureus-0013-00000012827-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/43847d60577f/cureus-0013-00000012827-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/a96f4d4c7900/cureus-0013-00000012827-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/9db9eb5cfcb4/cureus-0013-00000012827-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/2e60eb9eda44/cureus-0013-00000012827-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/bdd3ec411285/cureus-0013-00000012827-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/43847d60577f/cureus-0013-00000012827-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/7895732/a96f4d4c7900/cureus-0013-00000012827-i05.jpg

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2
Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association.自发性冠状动脉夹层：科学现状：美国心脏协会的科学声明。
Circulation. 2018 May 8;137(19):e523-e557. doi: 10.1161/CIR.0000000000000564. Epub 2018 Feb 22.
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自发性冠状动脉夹层：病例系列及文献综述
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JACC Cardiovasc Interv. 2016 Apr 25;9(8):866-868. doi: 10.1016/j.jcin.2016.02.024.
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Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: A report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan.年轻女性急性心肌梗死患者自发性冠状动脉夹层的预后影响：来自日本心绞痛-心肌梗死多中心研究者的报告
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