“辨像论治”冠状动脉微循环功能障碍的进展

Advances in coronary microvascular dysfunction based on Chinese traditional medicine concept "symptom differentiation and treatment"

胸痛是急诊常见的病症。临床研究显示,将近60%因胸痛就诊的疑似阻塞性冠心病患者冠脉造影并无阻塞性表现(定义为≥50%狭窄病变),这类患者的胸痛可能缘因冠状动脉微循环功能障碍(coronary microvascular dysfunction,CMVD)。

Chest pain caused by coronary microvascular dysfunction(CMVD)is a commonly experienced symptom in the Emergency Room.CMVD is usually under-recognized because it is difficult to diagnose with routine tests.However,the patients with CMVD have a high-risk of cardiac events and poor prognosis.Effective diagnostic and treatment strategy is worthy of further exploration.The current study summarized the current definition,categorization,diagnostic criteria and treatment of CMVD based on Chinese traditional medicine concept'symptom differentiation and treatment'.In addition,the study emphasized the current evidence of anisodamine in the treatment of CMVD.