Stvrtinová V
II. interná klinika Lekárskej fakulty Univerzity Komenského v Bratislave.
Bratisl Lek Listy. 1995 Oct;96(10):544-51.
It is generally accepted that myocardial ischemia, and its extreme consequence, acute myocardial infarction, can result from transient or permanent disproportion between myocardial oxygen demand and coronary artery blood supply. Insufficient coronary artery blood supply may have many reasons. The aim of the study is to point to the clinical features of the coronary vasculitides as well as to the diagnostic and therapeutic possibilities. Coronary artery involvement in infectious angiitis, in Takayasu's arteritis, in granulomatous giant cell arteritis, in thromboangiitis obliterans, in polyarteritis nodosa, in Wegener's granulomatosis and in Churg--Strauss syndrome is discussed. The diagnosis of coronary vasculitis must be supposed in every patient with primary or secondary vasculitis in whom chest pain or cardiac failure appear. In young patients with clinical, electrocardiographic or laboratory signs of coronary artery disease, especially in absence of risk factors for atherosclerosis, the diagnosis of coronary vasculitis must be considered in differential diagnosis. (Fig. 4, Tab. 1, Ref. 32.).
一般认为，心肌缺血及其极端后果——急性心肌梗死，可由心肌需氧量与冠状动脉供血之间的短暂或永久性失衡所致。冠状动脉供血不足可能有多种原因。本研究的目的是指出冠状动脉血管炎的临床特征以及诊断和治疗的可能性。文中讨论了感染性血管炎、高安动脉炎、肉芽肿性巨细胞动脉炎、血栓闭塞性脉管炎、结节性多动脉炎、韦格纳肉芽肿病和变应性肉芽肿性血管炎中冠状动脉的受累情况。对于每一位出现胸痛或心力衰竭的原发性或继发性血管炎患者，都必须考虑冠状动脉血管炎的诊断。在有冠状动脉疾病临床、心电图或实验室征象的年轻患者中，尤其是在没有动脉粥样硬化危险因素的情况下，鉴别诊断时必须考虑冠状动脉血管炎的诊断。（图4，表1，参考文献32。）
