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冠状动脉造影正常的心肌梗死之谜

The Myth of Myocardial Infarction With Normal Coronary Angiography.

作者信息

Taher Ziad A, Kinsara Abdulhalim J

机构信息

Department of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.

Department of Medicine, Ministry of National Guard-Health Affairs, Jeddah, SAU.

出版信息

Cureus. 2021 Mar 3;13(3):e13662. doi: 10.7759/cureus.13662.

DOI:10.7759/cureus.13662
PMID:33824813
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8012267/
Abstract

Myocardial infarction with no obstructive atherosclerosis is an increasingly recognized presentation of acute coronary syndrome (ACS). The disease has all the clinical features of an ACS, but the only exception is that the coronary angiogram indicates non-obstructive coronary artery disease. Although different pathophysiological mechanisms have been postulated, no definitive mechanism has been identified. Consequently, the treatment plan varies and depends on the more probable mechanism. Here, we review the current body of knowledge about this disease and discuss updated management strategies.

摘要

无阻塞性动脉粥样硬化的心肌梗死是急性冠状动脉综合征（ACS）中一种日益被认识到的表现形式。该疾病具有ACS的所有临床特征，但唯一的例外是冠状动脉造影显示冠状动脉疾病无阻塞。尽管已经提出了不同的病理生理机制，但尚未确定明确的机制。因此，治疗方案各不相同，取决于更可能的机制。在此，我们回顾了关于该疾病的现有知识，并讨论了最新的管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5bd/8012267/cd92d4acbd3a/cureus-0013-00000013662-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5bd/8012267/cd92d4acbd3a/cureus-0013-00000013662-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5bd/8012267/cd92d4acbd3a/cureus-0013-00000013662-i01.jpg

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Acta Cardiol. 2021 Sep;76(7):760-768. doi: 10.1080/00015385.2020.1785134. Epub 2020 Jun 29.
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Editor's Choice- Pathophysiology, diagnosis and management of MINOCA: an update.编辑精选- 心肌梗死不能分类为动脉粥样硬化性心脏病（MINOCA）的病理生理学、诊断和处理：更新。
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Takotsubo（应激性）心肌病的临床特征和三年转归：单中心观察数据。
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N Engl J Med. 2015 Sep 3;373(10):929-38. doi: 10.1056/NEJMoa1406761.
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