Servicio de Cardiología, Complejo Hospitalario Universitario A Coruña, Instituto de Investigación Biomédica de A Coruña (INIBIC), La Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.
Servicio de Cardiología, Complejo Hospitalario Universitario A Coruña, Instituto de Investigación Biomédica de A Coruña (INIBIC), La Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.
Rev Clin Esp (Barc). 2021 May;221(5):297-305. doi: 10.1016/j.rceng.2020.11.003. Epub 2021 Mar 31.
Spontaneous coronary artery dissection is an underdiagnosed entity. It has been recognized as an important cause of acute coronary syndrome and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. This document provides an exhaustive review of the pathophysiology and etiology of this disease. In addition, we describe the main clinical characteristics of these patients, the diagnostic tests that must be performed, and the most appropriate treatment.
自发性冠状动脉夹层是一种诊断不足的病症。它已被认为是急性冠状动脉综合征和猝死的一个重要原因，特别是在年轻女性和传统动脉粥样硬化危险因素较少的人群中。本文全面回顾了这种疾病的病理生理学和病因。此外，我们还描述了这些患者的主要临床特征、必须进行的诊断检查以及最合适的治疗方法。
