礼兆悦,胡思宁,贾海波,于波

• 1:哈尔滨医科大学附属第二医院心内科

摘要(Abstract)：

自发性冠状动脉夹层(SCAD)是急性冠状动脉综合征(ACS)的病因之一,由内膜自发性撕裂或壁内血肿导致心肌灌注不足而形成。SCAD与冠状动脉粥样硬化导致的ACS在急性期管理上明显的不同,确诊SCAD的患者除出现持续性胸痛或临床症状不稳定的情况外,多建议采用保守治疗策略,70%～97%的SCAD患者经过保守治疗后数周至数月后会发生"愈合"。由于SCAD的诊断思路、治疗策略以及临床预后与动脉粥样硬化性冠状动脉疾病截然不同,所以提高对SCAD这一疾病的认识并且合理选择影像学技术协助确诊SCAD至关重要。

关键词(KeyWords)： 自发性冠状动脉夹层;冠状动脉造影;光学相干断层成像;CT血管造影

Abstract:

Keywords:

基金项目(Foundation): 国家重点研发计划资助（2016YFC1301100）;; 国家自然科学基金资助项目（81827806）

作者(Author): 礼兆悦,胡思宁,贾海波,于波

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