[1]者春阳 高红霞 胡思宁 于波 贾海波.冠状动脉非阻塞性心肌梗死诊疗新进展[J].心血管病学进展,2019,(5):735-738.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.018]
 ZHE Chunyang,GAO Hongxia,HU Sining,et al.Current tatus of Management of Myocardial Infarction with Non-obstructive Coronary Arteries[J].Advances in Cardiovascular Diseases,2019,(5):735-738.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.018]
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冠状动脉非阻塞性心肌梗死诊疗新进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年5期
页码:
735-738
栏目:
综述
出版日期:
2019-08-25

文章信息/Info

Title:
Current tatus of Management of Myocardial Infarction with Non-obstructive Coronary Arteries
作者:
者春阳 高红霞 胡思宁 于波 贾海波
(哈尔滨医科大学附属第二医院心内科,黑龙江 哈尔滨 150001)
Author(s):
ZHE Chunyang GAO Hongxia HU Sining YU Bo JIA Haibo
(Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China)
关键词:
冠状动脉非阻塞性心肌梗死冠状动脉痉挛腔内影像学
Keywords:
Myocardial infarction with noobstructive coronary arteries Coronary artery spasm Intravascular imaging modalities
DOI:
10.16806/j.cnki.issn.1004-3934.2019.05.018
摘要:
传统认为急性心肌梗死的发生是冠状动脉严重狭窄的基础上继发血栓形成,导致心肌缺血坏死。近期几项急性心肌梗死的大型注册研究显示约10%的急性心肌梗死阻塞性冠状动脉病变。目前针对该病缺乏系统的诊疗规范,也导致部分患者延误了最佳的治疗时机。从冠状动脉非阻塞性心肌梗死发病机制、诊断、治疗等方面的最新研究进展予以总结阐述。
Abstract:
Traditionally, acute myocardial infarction is caused by secondary thrombosis based on severe coronary artery stenosis, resulting in myocardial ischemic necrosis. However, several large registry studies showed that near 10% of patients with acute myocardial infarction had non-obstructive coronary arteries. Myocardial infarction with non-obstructive coronary arteries is receiving increasingly attention in term of unclear mechanisms, diagnosis, and management. However, current guidelines do not address the specific management of this disease which delayed the best treatment for some patients. Thus, in this article, we reviewed the current status of mechanisms, diagnosis and treatment strategies to advance our understanding and management of this disease

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备注/Memo

备注/Memo:
收稿日期:2018-12-29国家自然科学基金(81722025)
更新日期/Last Update: 2019-12-24