冠状动脉微血管功能障碍研究进展  

Research Progress on Coronary Microvascular Dysfunction

作　　者：罗海鸥[1] 程金波[2] 

机构地区：[1]解放军第三军医大学附属新桥医院,重庆400037 [2]解放军150医院,河南洛阳471031

出　　处：《心血管病学进展》2013年第5期637-640,共4页Advances in Cardiovascular Diseases

基　　金：国家自然科学基金(81102667)

摘　　要：尽管冠状动脉微血管分布远较心外膜冠状动脉血管广泛,但其结构及功能不能为常规冠状动脉血管造影技术显示,因此冠状动脉微血管功能障碍的临床意义并没有如心外膜血管病变那样在医学实践中得到足够重视。近几十年来的临床证据表明,冠状动脉微循环障碍不仅在冠状动脉造影结果正常的胸痛患者,而且在其他心脏病患者中同样起重要作用。现就冠状动脉微循环构成特点、冠状动脉微血管功能障碍的诊断性试验以及其临床表现做一综述。Even far more extensive than the epicardial coronary vascular, the coronary vasculature has remained elusive to routine imagines, and so the clinical significance of coronary microvascular dysfunction has not incurred as much attention as epieardial coronary artery disease. However, various lines of evidence gathered over the last decades have identified an important role for the coronary microcirculation not only in the clinical presentation and prognosis of patients with typical chest pain despite a normal coronary angiogram, but also in patients who have other cardiac conditions. This article will review the functional aspects of the coronary microcirculation, the diagnostic tests used for the assessment of coronary microvascular dysfunction and its clinical presentation.

关 键 词：冠状动脉微循环 冠状动脉血流储备 微血管型心绞痛 急性冠状动脉综合征 冠状动脉性心脏病 

分 类 号：R541.4[医药卫生—心血管疾病]