冠状动脉微血管功能障碍诊治新进展  

Development in Diagnosis and Treatment of Coronary Microvascular Dysfunction

作　　者：黄玉雪 常静[1] HUANG Yuxue;CHANG Jing(Department of Cardiology,The First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院心内科,重庆400016

出　　处：《心血管病学进展》2018年第4期594-598,共5页Advances in Cardiovascular Diseases

摘　　要：冠状动脉微血管功能障碍是指在多种致病因素的作用下,冠状前小动脉和小动脉的结构和/或功能异常所至的劳力性心绞痛或心肌缺血客观证据的临床综合征。临床上60%~70%的女性及30%的男性在行冠状动脉造影时未能找到明确的冠状动脉阻塞。研究表明,这一部分患者的发病与冠状动脉微血管功能障碍有关,但目前对于冠状动脉微血管功能障碍缺乏明确的诊断标准及治疗方案。这类患者的诊治成为一大挑战,现对这一类疾病诊治的最新进展做一综述。Coronary microvascular dysfunction（ CMVD ）refers to the evidence of myocardial ischemia or microcirculation lesions in patients with chest pain, but normal coronary angiography. Nearly 60% -70% of women and 30% of men failed to find coronary artery obstruction with coronary angiography. Studies have shown that the pathogenesis of this part is related to CMVD, but there is no clear diagnostic criteria and treatment plan for CMVD. Therefore, it is a challenge to make a diagnosis and treatment for such patients. This paper reviews the latest progress in diagnosis and treatment of such diseases.

关 键 词：冠状动脉微血管功能障碍 诊断 治疗 

分 类 号：R543.3[医药卫生—心血管疾病]