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自发性冠状动脉夹层:一项系统评价

Spontaneous Coronary Artery Dissections: A Systematic Review.

作者信息

Teruzzi Giovanni, Santagostino Baldi Giulia, Gili Sebastiano, Guarnieri Gianluca, Montorsi Piero, Trabattoni Daniela

机构信息

Centro Cardiologico Monzino, IRCCS, Invasive Cardiology Department, 20138 Milan, Italy.

Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.

出版信息

J Clin Med. 2021 Dec 17;10(24):5925. doi: 10.3390/jcm10245925.

Abstract

Myocardial infarction with nonobstructive coronary artery disease due to spontaneous coronary artery dissection (SCAD) accounts for 5-8% of acute coronary syndrome (ACS) presentations. The demographic characteristics, risk factors, and management of patients with SCAD differ from those with atherosclerotic disease. The objective of this review is to provide a contemporary understanding of the epidemiology, pathophysiology, clinical presentation, and management of SCAD.

摘要

自发性冠状动脉夹层(SCAD)所致非阻塞性冠状动脉疾病引起的心肌梗死占急性冠状动脉综合征(ACS)病例的5-8%。SCAD患者的人口统计学特征、危险因素及治疗与动脉粥样硬化疾病患者不同。本综述的目的是提供对SCAD的流行病学、病理生理学、临床表现及治疗的当代认识。

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