自发性冠状动脉夹层：处理原则。

Spontaneous coronary artery dissection: Principles of management.

机构信息

Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, OH.

Director, Women's Cardiovascular Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Professor of Medicine, Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

出版信息

Cleve Clin J Med. 2021 Nov 2;88(11):623-630. doi: 10.3949/ccjm.88a.20162.

DOI:10.3949/ccjm.88a.20162

PMID:34728488

Abstract

Spontaneous coronary artery dissection (SCAD) is an acute noniatrogenic tear in the coronary arterial wall, leading to disruption of coronary blood flow and myocardial infarction. Previously considered rare, it is now recognized as a common cause of acute coronary syndrome, particularly in young women. Despite growing awareness of this disease, there is a paucity of data on acute and long-term therapy. This review summarizes the existing literature on treatment of SCAD and describes a comprehensive management strategy.

摘要

自发性冠状动脉夹层（SCAD）是冠状动脉壁的急性非医源性撕裂，导致冠状动脉血流中断和心肌梗死。以前认为很少见，现在被认为是急性冠状动脉综合征的常见原因，特别是在年轻女性中。尽管对这种疾病的认识不断提高，但关于急性和长期治疗的数据仍然很少。本文综述了现有的关于 SCAD 治疗的文献，并描述了一种综合管理策略。