冠状动脉造影检查确定的 11267 例中国西南地区患者的冠状动脉异常。

Coronary Anomalies in 11,267 Southwest Chinese Patients Determined by Angiography.

机构信息

Department of Cardiology, People's Hospital of Dadukou, Dadukou District, Chongqing 400080, China.

Department of Cardiology, Chongqing Institute of Cardiology, Daping Hospital, Army Medical University, Chongqing 400042, China.

出版信息

Biomed Res Int. 2021 Feb 18;2021:6693784. doi: 10.1155/2021/6693784. eCollection 2021.

DOI:10.1155/2021/6693784

PMID:33681376

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7910051/

Abstract

BACKGROUND

The prevalence of coronary artery anomalies (CAAs) is rare and varies among different countries or areas. More importantly, the symptoms exhibited by some CAAs make the diagnosis of coronary artery disease (CAD) difficult and hamper the physician from making the right intervention for CAD patients.

OBJECTIVE

To investigate the prevalence of CAAs in 11,267 patients from three hospitals in Southwest China.

METHODS

11,267 patients who have undergone coronary angiography from three Southwest China hospitals were investigated retrospectively. Dominance patterns, prevalence, and the location of each CAA were recorded and analyzed.

RESULTS

The presence of a dominant right coronary artery (RCA) was found in 60.58% of patients. CAAs were found in 11.12% (1258) patients, and 87.66% anomalies were located in the left anterior descending (LAD) artery and its branches. Most of CAAs were found to be myocardial bridges (MBs, 1060 cases, 9.41%). Other CAAs included anomalous coronary origin (43 cases, 0.38%), coronary artery fistulas (CAFs, 36 cases, 0.32%), and coronary artery aneurysm or ectasia (119 cases, 1.06%). It also noted that most anomalies were found with RCA originating from the left coronary sinus (79.07%), most CAFs were located in the LAD and its branches (58.33%), and most coronary artery ectasias were located in the RCA (43.25%).

CONCLUSIONS

CAAs in patients from Southwest China were unique compared to other studies. Recognition of these CAAs is important for accurate diagnosis and treatment choice of patients with chest pain.

摘要

背景

冠状动脉异常（CAAs）的患病率罕见，且在不同国家或地区存在差异。更重要的是，某些 CAA 的症状使得冠状动脉疾病（CAD）的诊断变得困难，并阻碍了医生对 CAD 患者进行正确的干预。

目的

调查中国西南地区 3 家医院的 11267 例患者中 CAA 的患病率。

方法

回顾性调查了来自中国西南地区 3 家医院的 11267 例行冠状动脉造影的患者。记录并分析了优势冠状动脉模式、患病率以及每种 CAA 的位置。

结果

60.58%的患者存在优势右冠状动脉（RCA）。11.12%（1258 例）的患者存在 CAA，87.66%的异常位于左前降支（LAD）及其分支。大多数 CAA 为心肌桥（MB，1060 例，9.41%）。其他 CAA 包括异常冠状动脉起源（43 例，0.38%）、冠状动脉瘘（CAFs，36 例，0.32%）和冠状动脉瘤或扩张（119 例，1.06%）。还注意到，大多数异常起源于左冠状动脉窦的 RCA（79.07%），大多数 CAFs 位于 LAD 及其分支（58.33%），大多数冠状动脉扩张位于 RCA（43.25%）。