冠状动脉微血管疾病诊治新进展  

Progresses in diagnosis and treatment of coronary microvascular disease

作　　者：董翠皎 张大庆[1] 

机构地区：[1]中国医科大学附属盛京医院心内科,沈阳110004

出　　处：《实用药物与临床》2019年第3期225-229,共5页Practical Pharmacy and Clinical Remedies

摘　　要：既往认为心外膜冠状动脉阻塞性疾病是心绞痛的主要病因,但部分缺血性胸痛患者的心外膜冠脉造影结果正常或者接近正常,说明冠状动脉微血管病变在其中发挥了重要作用。近20年来的研究为冠脉微循环病变在缺血性心脏病发病中的作用积累了众多证据。本文对冠状动脉微血管疾病的发病机制、诊断和治疗进行评述,以增进临床医生对该病的认识。Obstructive disease of epicardial coronary arteries has been recognized as the dominating pathogenesis of angina pectoris.However,epicardial coronary angiography in some patients with ischemic chest pain shows normal or close to normal,which indicates that coronary microangiopathy might play an important role.Over the past 20 years,serious researches have accumulated evidences to verify the role of coronary microcirculation in the pathogenesis of ischemic heart disease.In order to enhance clinicians'recognition,this article will systemically review the pathogenesis,diagnosis and treatment of coronary microvascular disease.

关 键 词：冠状动脉微血管疾病 缺血性心脏病 冠状动脉血流储备 

分 类 号：R543.3[医药卫生—心血管疾病]