冠状动脉微循环侵入性检测方法研究进展  

Invasive Assessment of Coronary Microcirculation

作　　者：李依珂 高艳香[2] 李青[3] 郭紫玉 郑金刚[2] LI Yike;GAO Yanxiang;LI Qing;GUO Ziyu;ZHENG Jingang(Department of Cardiology,China-Japan Friendship Hospital(Institute of Clinical Medical Sciences),Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100029,China;Department of Cardiology,China-Japan Friendship Hospital,Beijing 100029,China;Department of Cardiology,Peking University China-Japan Friendship School of Clinical Medicine,Beijing 100029,China)

机构地区：[1]中国医学科学院、北京协和医学院、中日友好医院(中日友好临床医学研究所)心脏科,北京100029 [2]中日友好医院心脏科,北京100029 [3]北京大学医学院、中日友好临床医学院、中日友好医院心脏科,北京100029

出　　处：《心血管病学进展》2023年第1期30-34,共5页Advances in Cardiovascular Diseases

基　　金：国家自然科学基金(91639110);国家临床重点专科建设项目(2020-QTL-009)。

摘　　要：冠状动脉微循环功能障碍在梗阻和/或非梗阻性冠状动脉疾病以及心力衰竭的发病过程中起重要作用,且与长期的不良心血管事件密切相关。此外,在肥厚型心肌病、应激性心肌病和糖尿病心脏病等心血管疾病中,亦可发现冠状动脉微循环功能障碍存在。因此,冠状动脉微血管的功能评估十分重要,其有助于对患者进行风险分层。目前,评估冠状动脉微循环的侵入性及非侵入性技术众多,新的检测技术也不断出现。相比非侵入性技术,侵入性检测方法可提供更加及时和准确的信息。Coronary microvascular dysfunction(CMD)plays an important role in the pathogenesis of obstructive and/or non-obstructive coronary artery disease and heart failure,and is closely related to long-term adverse cardiovascular events.In addition,CMD can also be found in cardiovascular diseases such as hypertrophic cardiomyopathy,stress cardiomyopathy and diabetic cardiopathy.Therefore,it is very important to evaluate the function of coronary microvessels,which is helpful for risk stratification of patients.At present,there are many invasive and non-invasive techniques for assessing coronary microcirculation,and new detection techniques are constantly emerging.Compared with non-invasive technology,invasive detection methods can provide more timely and accurate information.

关 键 词：冠状动脉 微循环 侵入性检查方法 

分 类 号：R541.4[医药卫生—心血管疾病]