冠状动脉痉挛的研究进展

Research progress of coronary artery spasm

冠状动脉痉挛（CAS）是多种缺血性心脏病发生的共同病理基础，是心绞痛、心肌梗死、猝死等严重心血管事件的重要病因，因此研究CAS具有重要临床意义。但长期以来CAS的临床诊断和治疗均 未得到足够重视。本文主要从CAS的流行病学、危险因素、发病机制、辅助检查和诊断以及治疗方面进行综述，旨在为广大临床工作者提供参考。

Coronary artery spasm（CAS） is a common pathological basis of ischemic heart diseases and a principle cause of serious cardiovascular events： angina pectoris, myocardial infarction and sudden death. However, the importance attached to CAS has not acquired sufficient attention. This paper reviewed epidemiology, risk factors, pathogenesis, supplementary examinations, diagnosis and treatment of CAS, designed to provide reference for clinical practice.