冠状动脉微循环障碍评估现状及进展  

R541Introduction and progress in assessment methods for coronary microvascular dysfunction

作　　者：张津 龚艳君[1] 郑博[1] ZHANG Jin;GONG Yan-jun;ZHENG Bo(Department of Cardiology,Institute of cardiovascular disease,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院心内科、心血管疾病研究所,北京100034

出　　处：《中国介入心脏病学杂志》2023年第10期770-774,共5页Chinese Journal of Interventional Cardiology

基　　金：国家重点研发计划项目(2021YFA1000204,2021YFA1000200);中央高水平医院临床科研业务费资助项目(北京大学第一医院跨学科交叉研究专项)(2022CR03);中国国际医学交流基金会项目(2021-N-15-5)。

摘　　要：冠状动脉微血管功能障碍会导致不良心血管事件风险增加,准确识别冠状动脉微血管功能障碍对疾病干预和预后意义重大。随着有创和无创技术的发展,出现多种方法评估冠状动脉微循环,如核素显像、磁共振成像以及有创的冠状动脉微循环阻力指数,其中基于冠状动脉造影的微循环阻力指数受到了更多的关注。本文将对各种冠状动脉微循环评估方法的原理、准确性、预后研究、优势和局限性进行综述。Coronary microvascular dysfunction increases the risk of adverse cardiovascular events.Accurate identification of coronary microvascular dysfunction is of significant importance for disease intervention and prognosis.With the development of both invasive and non-invasive techniques,various methods have emerged to assess coronary microcirculation,including nuclear imaging,magnetic resonance,and invasive coronary microcirculatory resistance indices.Among them,the microcirculatory resistance index based on coronary angiography has received more attention.This article provides a comprehensive review of the principles,accuracy,prognosis research,advantages,and limitations of various methods for assessing coronary microcirculation.

关 键 词：冠状动脉微循环 功能学评估 基于冠状动脉造影的微循环阻力指数 

分 类 号：R541[医药卫生—心血管疾病]