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高级心脏成像与女性胸痛：性别问题

Advanced Cardiac Imaging and Women's Chest Pain: A Question of Gender.

作者信息

Dell'Aversana Federica, Tedeschi Carlo, Comune Rosita, Gallo Luigi, Ferrandino Giovanni, Basco Emilia, Tamburrini Stefania, Sica Giacomo, Masala Salvatore, Scaglione Mariano, Liguori Carlo

机构信息

Department of Precision Medicine, University of Campania "L. Vanvitelli", 80138 Napoli, Italy.

Operational Unit of Cardiology, Presidio Sanitario Intermedio Napoli Est, ASL-Napoli 1 Centro, 80144 Napoli, Italy.

出版信息

Diagnostics (Basel). 2023 Aug 7;13(15):2611. doi: 10.3390/diagnostics13152611.

DOI:10.3390/diagnostics13152611
PMID:37568974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10416986/
Abstract

Awareness of gender differences in cardiovascular disease (CVD) has increased: both the different impact of traditional cardiovascular risk factors on women and the existence of sex-specific risk factors have been demonstrated. Therefore, it is essential to recognize typical aspects of ischemic heart disease (IHD) in women, who usually show a lower prevalence of obstructive coronary artery disease (CAD) as a cause of acute coronary syndrome (ACS). It is also important to know how to recognize pathologies that can cause acute chest pain with a higher incidence in women, such as spontaneous coronary artery dissection (SCAD) and myocardial infarction with non-obstructive coronary arteries (MINOCA). Coronary computed tomography angiography (CCTA) and cardiac magnetic resonance imaging (CMR) gained a pivotal role in the context of cardiac emergencies. Thus, the aim of our review is to investigate the most frequent scenarios in women with acute chest pain and how advanced cardiac imaging can help in the management and diagnosis of ACS.

摘要

对心血管疾病（CVD）中性别差异的认识有所提高：传统心血管危险因素对女性的不同影响以及性别特异性危险因素的存在均已得到证实。因此，认识女性缺血性心脏病（IHD）的典型特征至关重要，女性通常表现为作为急性冠状动脉综合征（ACS）病因的阻塞性冠状动脉疾病（CAD）患病率较低。了解如何识别在女性中发病率较高的可导致急性胸痛的疾病也很重要，例如自发性冠状动脉夹层（SCAD）和非阻塞性冠状动脉心肌梗死（MINOCA）。冠状动脉计算机断层扫描血管造影（CCTA）和心脏磁共振成像（CMR）在心脏急症的情况下发挥了关键作用。因此，我们综述的目的是研究急性胸痛女性中最常见的情况，以及先进的心脏成像如何有助于ACS的管理和诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/8f412d7c3ed0/diagnostics-13-02611-g012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/8f412d7c3ed0/diagnostics-13-02611-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/b06c36087f33/diagnostics-13-02611-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/73e95de05c94/diagnostics-13-02611-g002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/788e30d67233/diagnostics-13-02611-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/494a774051c4/diagnostics-13-02611-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/38a917f377b8/diagnostics-13-02611-g008a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/b20bc1725b5a/diagnostics-13-02611-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/471dc3ea6086/diagnostics-13-02611-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/96e14e2c5e3d/diagnostics-13-02611-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7833/10416986/8f412d7c3ed0/diagnostics-13-02611-g012.jpg

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