妊娠相关自发性冠状动脉夹层的研究进展  

Pregnancy-Associated Spontaneous Coronary Artery Dissection

作　　者：傅姝环 冯达应[2] FU Shuhuan;FENG Daying(School of Medical and Life Sciences,Chengdu University of Traditional Chinese Medicine,Chengdu 611130,Sichuan,China;Department of Cardiology,Dazhou Central Hospital,Dazhou 635000,Sichuan,China)

机构地区：[1]成都中医药大学医学与生命科学学院,四川成都611130 [2]达州市中心医院心血管内科,四川达州635000

出　　处：《心血管病学进展》2025年第2期129-132,共4页Advances in Cardiovascular Diseases

摘　　要：妊娠相关自发性冠状动脉夹层是一种严重的、可能危及生命的心血管事件,是妊娠相关自发性心肌梗死和心源性猝死的主要病因之一,多见于无明显心血管危险因素的年轻患者。其并发症主要包括心源性猝死和室性心律失常等,这些并发症严重影响母体和胎儿的预后。因包括产妇年龄增加在内的多种危险因素的发生率升高,其发病率正在日益上升。由于妊娠特有的生理变化,其病因与一般的自发性冠状动脉夹层患者相比有特殊之处。现综述目前关于妊娠相关自发性冠状动脉夹层的研究进展,旨在为进一步提高临床医生对妊娠相关自发性冠状动脉夹层的认识和寻找新的治疗方向提供思路。Pregnancy-associated spontaneous coronary artery dissection(P-SCAD)is a serious and potentially life-threatening cardiovascular event.It is one of the main causes of pregnancy-associated spontaneous myocardial infarction and sudden cardiac death.PSCAD is more common in young patients without obvious cardiovascular risk factors.Complications implicated in P-SCAD mainly include sudden cardiac death and ventricular arrhythmias,which pose a great threat to the survival of the mother and the fetus.Given the increasing incidence of various risk factors including maternal age,the incidence of P-SCAD is increasing.Due to the unique physiological changes of pregnancy,accordingly,its etiology is distinct in pregnant from general patients with P-SCAD.This article reviews the current research progress on patients with P-SCAD,aiming to provide knowledge for further improving clinicians’understanding of P-SCAD,and for exploring new treatment approaches.

关 键 词：妊娠相关自发性冠状动脉夹层 妊娠相关急性心肌梗死 自发性冠状动脉夹层 

分 类 号：R714.252[医药卫生—妇产科学]