自发性冠状动脉夹层的诊疗研究进展  

Advances in diagnosis and treatment of spontaneous coronary artery dissection

作　　者：刘成峰 邢坤[1] 朱舜明[1] 叶晨 杨禹娟[1] LIU Cheng-feng;XING Kun;ZHU Shun-ming;YE Chen;YANG Yu-juan(Department Of Cardiology,Shanxi Provincial People's Hospital,Xian 710000,China)

机构地区：[1]陕西省人民医院心血管内科,陕西省西安市710000

出　　处：《中国心血管病研究》2021年第8期735-739,共5页Chinese Journal of Cardiovascular Research

基　　金：陕西省自然科学基金基础研究计划项目(2019JM-530);陕西省分子心脏病学重点实验室开放课题基金资助课题(KLMC-2018-04)。

摘　　要：自发性冠状动脉夹层(SCAD)是急性冠脉综合征、心源性猝死的重要原因之一,常常发生在很少或没有传统动脉粥样硬化危险因素的个体中。目前对于SCAD的诊断能力和初始、长期管理的方法仍无统一标准。本文就SCAD的病因、病理生理、临床表现、治疗选择及预后的相关知识做一系统综述。Spontaneous coronary artery dissection(SCAD) is an important pathological cause of acute coronary syndrome(ACS) and sudden cardiac death, which usually occurs in individuals with little or no traditional risk factors for atherosclerosis. At present, there is no unified standard for the diagnostic ability and initial and long-term management of SCAD. This article summarized the etiology, pathophysiology, clinical manifestations, treatment options and prognosis of SCAD.

关 键 词：自发性冠状动脉夹层 病理机制 诊断 治疗 预后 

分 类 号：R654.2[医药卫生—外科学]