不容忽视的轻度狭窄:3年斑块进展、破裂致急性冠状动脉综合征1例
单冬凯,蔡晓庆,田峰,陈韵岱
摘要(Abstract):
<正>冠心病是由高血压病、高脂血症、糖尿病、吸烟等多种危险因素共同作用所导致的心血管疾病,控制危险因素是其预防和治疗的重要环节~([1-2])。本文报道了1例冠状动脉轻度狭窄合并多种危险因素,由于危险因素控制不佳,3年内斑块迅速发展、破裂致急性冠状动脉综合征(acute coronary syndrome,ACS)的典型病例。
关键词(KeyWords): 斑块进展;急性冠状动脉综合征
基金项目(Foundation):
作者(Author): 单冬凯,蔡晓庆,田峰,陈韵岱
参考文献(References):
- [1]Fox CS,Evans JC,Larson MG,et al.Temporal trends in coronary heart disease mortality and sudden cardiac death from 1950 to 1999:the Framingham Heart Study.Circulation,2004,110(15):522-527.
- [2]吴文、蔡金赞、任晓敏,等.冠状动脉CT血管成像在冠心病介入治疗中的研究进展.中国介入心脏病学杂志,2016,24(1):40-43
- [3]Puchner SB,Liu T,Mayrhofer T,et al.High-risk plaque detected on coronary CT angiography predicts acute coronary syndromes independent of significant stenosis in acute chest pain:results from the ROMICAT-II trial.J Am Coll Cardiol,2014,19,64(7):684-692.
- [4]Cury RC,Abbara S,Achenbach S,et al.CAD-RADS(TM)Coronary Artery Disease-Reporting and Data System.An expert consensus document of the Society of Cardiovascular Computed Tomography(SCCT),the American College of Radiology(ACR)and the North American Society for Cardiovascular Imaging(NASCI).Endorsed by the American College of Cardiology.J Cardiovasc Comput Tomogr,2016,10(4):269-281.