自发性冠状动脉夹层的诊疗研究进展

Advances in diagnosis and treatment of spontaneous coronary artery dissection

自发性冠状动脉夹层(SCAD)是急性冠脉综合征、心源性猝死的重要原因之一,常常发生在很少或没有传统动脉粥样硬化危险因素的个体中。目前对于SCAD的诊断能力和初始、长期管理的方法仍无统一标准。本文就SCAD的病因、病理生理、临床表现、治疗选择及预后的相关知识做一系统综述。

Spontaneous coronary artery dissection(SCAD) is an important pathological cause of acute coronary syndrome(ACS) and sudden cardiac death, which usually occurs in individuals with little or no traditional risk factors for atherosclerosis. At present, there is no unified standard for the diagnostic ability and initial and long-term management of SCAD. This article summarized the etiology, pathophysiology, clinical manifestations, treatment options and prognosis of SCAD.