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首页> 外文期刊>Angiology: the Journal of Vascular Diseases >Large spontaneous coronary artery dissections-a study of three cases, literature review, and possible therapeutic strategies.
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Large spontaneous coronary artery dissections-a study of three cases, literature review, and possible therapeutic strategies.

机译:大型自发性冠状动脉夹层术-三例研究,文献复习和可能的治疗策略。

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摘要

Spontaneous coronary artery dissection is rare, but is now being increasingly recognized as a prominent cause of acute ischemic coronary events occurring usually in relatively young patients, predominantly females. The authors describe the clinical course of 3 patients (1 woman) in whom large spontaneous coronary artery dissections developed. All had diverse clinical presentations;1 presenting with heart failure, the second with post-myocardial infarction angina, and the third with syncope. The second patient underwent coronary angioplasty with multiple overlapping stents while in the other two, it was the considered opinion to continue aggressive medical therapy. The 1-year follow-up was uneventful in all 3 patients. The risk factors ascertained in our patients were diabetes mellitus, smoking, and hypertension.
机译:自发性冠状动脉夹层术很少见,但现在越来越被认为是急性缺血性冠状动脉事件的主要原因,通常发生在相对年轻的患者中,主要是女性。作者描述了3例(1名妇女)发生大面积自发性冠状动脉夹层的临床过程。所有患者都有不同的临床表现; 1表现为心力衰竭,第二表现为心肌梗死后心绞痛,第三表现为晕厥。第二例患者接受了多个重叠支架的冠状动脉血管成形术,而在其他两个患者中,考虑继续积极的药物治疗是公认的观点。 1例随访3例均无异常。在我们的患者中确定的危险因素是糖尿病,吸烟和高血压。

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