光学相干断层成像对非阻塞性心肌梗死的诊断价值  

Diagnostic value of optical coherence tomography in myocardial infarction with non-obstructive coronary arteries

作　　者：夏洁 邓婵翠 杨彩凤 陆再丽 许官学 XIA Jie;DENG Cancui;YANG Caifeng;LU Zaili;XU Guanxue(The First Clinical College of Zunyi Medical University;Department of Cardiovascular Medicine,Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou 563000,China)

机构地区：[1]遵义医科大学第一临床学院 [2]遵义医科大学附属医院心血管内科,贵州省遵义市563000

出　　处：《中国动脉硬化杂志》2025年第1期68-74,共7页Chinese Journal of Arteriosclerosis

基　　金：贵州省科技计划项目(黔科合成果-LC[2021]026)。

摘　　要：冠状动脉非阻塞性心肌梗死(MINOCA)是一种复杂多样的疾病,其病理生理机制和治疗预后存在着巨大的异质性。传统检查难以完全明确其机制。光学相干断层成像(OCT)技术以高分辨率观察血管斑块微观结构,更准确地识别易损斑块。文章旨在通过该技术深入探讨MINOCA的形态学特征,以更全面地理解疾病的发展。精确描述斑块特征和识别易损斑块有助于制定个体化治疗方案,改善预后,降低死亡率。Myocardial infarction with non-obstructive coronary arteries(MINOCA)is a complex and diverse disease with great heterogeneity in pathophysiologic mechanisms and treatment prognosis.It is difficult to fully clarify the mechanism by conventional examination.Optical coherence tomography(OCT)visualizes the microstructure of vascular plaques with high resolution and identifies vulnerable plaques more accurately.The aim of this review is to use this technique to delve into the morphological features of MINOCA for a more comprehensive understanding of disease progression.Accurate characterization of plaques and identification of vulnerable plaques can help develop individualized treatment plans,improve prognosis,and reduce mortality.

关 键 词：冠状动脉非阻塞性心肌梗死 光学相干断层成像 斑块特征 易损斑块 个体化治疗 预后 

分 类 号：R445[医药卫生—影像医学与核医学] R5[医药卫生—诊断学]