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成功治疗 19 岁斑块侵蚀性 ST 段抬高型心肌梗死患者：光学相干断层扫描指导下的治疗。

Successful optical coherence tomography-guided treatment in a 19-year-old patient with ST-segment elevation myocardial infarction caused by plaque erosion.

机构信息

Department of Cardiovascular Disease Center, Hebei General Hospital, Shijiazhuang, Hebei, China.

出版信息

J Int Med Res. 2021 Aug;49(8):3000605211039794. doi: 10.1177/03000605211039794.

DOI:10.1177/03000605211039794
PMID:34461769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8414937/
Abstract

ST-segment elevation myocardial infarction is a type of coronary atherosclerotic heart disease, and its pathophysiological mechanism is formation of lipid plaques. We report a 19-year-old patient with ST-segment elevation myocardial infarction caused by plaque erosion, but he did not have any common traditional risk factors of lipid plaques. His treatment was guided by optical coherence tomography. He received successful treatment and had a good prognosis. Optical coherence tomography can be used to help understand the pathogenesis of myocardial infarction and visualize the real lumen.

摘要

ST 段抬高型心肌梗死是一种冠状动脉粥样硬化性心脏病，其病理生理机制为脂质斑块的形成。我们报告了一例 19 岁的 ST 段抬高型心肌梗死患者，其病因是斑块侵蚀，但他没有任何常见的脂质斑块传统危险因素。他的治疗由光学相干断层扫描指导。他接受了成功的治疗，预后良好。光学相干断层扫描可用于帮助了解心肌梗死的发病机制并可视化真实管腔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2c/8414937/b98657796f8f/10.1177_03000605211039794-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2c/8414937/f2bd1cefd640/10.1177_03000605211039794-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2c/8414937/fcb7953a0e73/10.1177_03000605211039794-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2c/8414937/b98657796f8f/10.1177_03000605211039794-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2c/8414937/f2bd1cefd640/10.1177_03000605211039794-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2c/8414937/fcb7953a0e73/10.1177_03000605211039794-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2c/8414937/b98657796f8f/10.1177_03000605211039794-fig3.jpg

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本文引用的文献

1
Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease: A Scientific Statement From the American Heart Association.当代非阻塞性冠状动脉疾病患者心肌梗死的诊断与管理：美国心脏协会科学声明。
Circulation. 2019 Apr 30;139(18):e891-e908. doi: 10.1161/CIR.0000000000000670.
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In vivo predictors of plaque erosion in patients with ST-segment elevation myocardial infarction: a clinical, angiographical, and intravascular optical coherence tomography study.在 ST 段抬高型心肌梗死患者中易损斑块的体内预测因子：一项临床、血管造影和血管内光学相干断层成像研究。
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Optical Coherence Tomography Guidance in Management of Acute Coronary Syndrome Caused by Plaque Erosion.
光学相干断层扫描指导斑块侵蚀致急性冠状动脉综合征的管理。
Circ J. 2018 Jan 25;82(2):302-308. doi: 10.1253/circj.CJ-17-1373. Epub 2018 Jan 13.
4
2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC).2017年欧洲心脏病学会（ESC）ST段抬高型急性心肌梗死患者管理指南：欧洲心脏病学会（ESC）ST段抬高型急性心肌梗死患者管理工作组
Eur Heart J. 2018 Jan 7;39(2):119-177. doi: 10.1093/eurheartj/ehx393.
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Stenting versus non-stenting treatment of intermediate stenosis culprit lesion in acute ST-segment elevation myocardial infarction: a multicenter randomized clinical trial.急性ST段抬高型心肌梗死中间病变罪犯血管狭窄的支架置入术与非支架置入术治疗：一项多中心随机临床试验
J Geriatr Cardiol. 2017 Feb;14(2):108-117. doi: 10.11909/j.issn.1671-5411.2017.02.005.
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