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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.

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/7895732/9db9eb5cfcb4/cureus-0013-00000012827-i01.jpg

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