冠状动脉痉挛非药物治疗的研究进展

Research progress in non pharmacological treatment of coronary artery spasm

冠状动脉痉挛(CAS)经药物治疗后大多预后良好,但高危痉挛如合并冠状动脉器质性狭窄、左主干痉挛、多支血管痉挛、痉挛致猝死等类型可能需要采用非药物治疗手段。目前,CAS的非药物治疗方式包括冠状动脉介入治疗、交感神经切除术、心肌桥松解术等,但非药物治疗方式的临床适应证及远期效果均不明确。该文就CAS的非药物治疗研究进展进行了综述。

Most cases of coronary artery spasm(CAS)have a good prognosis after drug treatment,but high-risk spasms such as concomitant organic coronary artery stenosis,left main artery spasm,multi vessel spasm,and sudden death caused by spasm may require non pharmacological treatment.At present,non pharmacological treatment methods for CAS include coronary intervention,sympathetic nerve resection,myocardial bridge release,etc.However,the clinical indications and long-term effects of non pharmacological treatment methods are not clear.The article reviews the research progress on non pharmacological treatment of CAS.