自发性冠状动脉夹层：一组病例系列，阐述了目前在诊断和治疗方面面临的挑战。
Spontaneous coronary artery dissection: a case series illustrating current challenges in diagnosis and treatment.
机构信息
University of Connecticut, UConn Health, Department of Internal Medicine, Farmington, Connecticut, USA.
Hartford Hospital, Department of Interventional Cardiology, Hartford, Connecticut, USA.
出版信息
Future Cardiol. 2024;20(7-8):369-376. doi: 10.1080/14796678.2024.2355808. Epub 2024 Jun 7.
Abstract
Spontaneous coronary artery dissection (SCAD) has been increasingly recognized in recent years as an important cause of acute coronary syndrome, myocardial infarction, and sudden death, especially among young women. However, due to the lack of clinical trials on SCAD, evidence-based guidance on management is currently lacking. Presented are four case studies that illustrate the recent insights and challenges in SCAD diagnosis and treatment.
摘要
自发性冠状动脉夹层 (SCAD) 近年来作为急性冠状动脉综合征、心肌梗死和猝死的重要病因，越来越受到重视，尤其是在年轻女性中。然而，由于缺乏 SCAD 的临床试验，目前在管理方面缺乏循证指导。本文呈现了四个病例研究，阐述了 SCAD 诊断和治疗方面的最新认识和挑战。
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Spontaneous coronary artery dissection: a case series illustrating current challenges in diagnosis and treatment.自发性冠状动脉夹层：一组病例系列，阐述了目前在诊断和治疗方面面临的挑战。
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本文引用的文献
1
Canadian Spontaneous Coronary Artery Dissection Cohort Study: 3-Year Outcomes.加拿大自发性冠状动脉夹层队列研究：3 年结果。
J Am Coll Cardiol. 2022 Oct 25;80(17):1585-1597. doi: 10.1016/j.jacc.2022.08.759.
2
Differences in Demographics and Outcomes Between Men and Women With Spontaneous Coronary Artery Dissection.自发性冠状动脉夹层患者的人口统计学和结局差异。
JACC Cardiovasc Interv. 2022 Oct 24;15(20):2052-2061. doi: 10.1016/j.jcin.2022.08.023.
3
Characteristics and Prognosis of Patients With Fibromuscular Dysplasia in a Population of Spontaneous Coronary Artery Dissections (from the French Registry of Spontaneous Coronary Artery Dissections "DISCO").纤维肌性发育不良患者的特征和预后在自发性冠状动脉夹层人群中（来自法国自发性冠状动脉夹层登记处“DISCO”）。
Am J Cardiol. 2022 Jul 15;175:38-43. doi: 10.1016/j.amjcard.2022.04.007. Epub 2022 May 11.
4
Antiplatelet therapy in patients with conservatively managed spontaneous coronary artery dissection from the multicentre DISCO registry.保守治疗自发性冠状动脉夹层患者的抗血小板治疗：多中心 DISCO 注册研究。
Eur Heart J. 2021 Aug 31;42(33):3161-3171. doi: 10.1093/eurheartj/ehab372.
5
FMD and SCAD: Sex-Biased Arterial Diseases With Clinical and Genetic Pleiotropy.FMD 和 SCAD：具有临床和遗传表型多样性的性别相关动脉疾病。
Circ Res. 2021 Jun 11;128(12):1958-1972. doi: 10.1161/CIRCRESAHA.121.318300. Epub 2021 Jun 10.
6
Outcomes of Percutaneous Coronary Intervention in Patients with Spontaneous Coronary Artery Dissection.自发性冠状动脉夹层患者经皮冠状动脉介入治疗的结果。
J Interv Cardiol. 2021 May 15;2021:6686230. doi: 10.1155/2021/6686230. eCollection 2021.
7
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8
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Am J Med. 2021 Jul;134(7):e403-e408. doi: 10.1016/j.amjmed.2021.02.011. Epub 2021 Mar 25.
9
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