[1]高程洁,万 青,吴 昊,等.孕产妇伴发急性心肌梗死2例并文献回顾[J].介入放射学杂志,2016,(08):723-726.
 GAO Cheng-jie,WAN Qing,WU Hao,et al.Pregnant women complicated by acute myocardial infarction: report of two cases with literature review [J].journal interventional radiology,2016,(08):723-726.
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孕产妇伴发急性心肌梗死2例并文献回顾 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年08期
页码:
723-726
栏目:
临床研究
出版日期:
2016-08-25

文章信息/Info

Title:
Pregnant women complicated by acute myocardial infarction: report of two cases with literature review
作者:
高程洁 万 青 吴 昊 陶逸菁 潘静薇 黄亚绢 魏 盟
Author(s):
GAO Cheng-jie WAN Qing WU Hao TAO Yi-jing PAN Jing-wei HUANG Ya-juan WEI Meng
Department of Cardiology, Affiliated Sixth People’s Hospital, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
【关键词】 孕产妇 急性冠状动脉综合征 自发性冠状动脉夹层
文献标志码:
A
摘要:
【摘要】 目的 探讨孕产妇急性冠状动脉综合征(ACS)的病因和诊治方法。 方法 报道2例孕产期妇女因突发胸痛就诊,依据心电图和心肌坏死标记物动态变化,心脏MRI和冠状动脉造影(CAG)明确诊断。 结果 依据心电图和心肌酶动态变化,2例孕产妇均确诊为急性心肌梗死。其中第2例CAG显示前降支近段局限性线状透明影,提示自发性冠状动脉夹层(SCAD),心脏MRI证实前壁心肌梗死。 结论 SCAD为孕产妇伴发ACS的主要原因,CAG是诊断金标准。应依据患者实际情况选择治疗方案。

参考文献/References:

[1] Tweet MS, Hayes SN, Pitta SR, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection[J]. Circulation, 2012, 126: 579-588.
[2] Ciraulo DA, Chesne RB. Coronary arterial dissection: an unrecognized cause of myocardial infarction, with subsequent coronary arterial patency[J]. Chest, 1978, 73: 677-679.
[3] Shamloo BK, Chintala RS, Nasur A, et al. Spontaneous coronary artery dissection: aggressive vs. conservative therapy[J]. J Invasive Cardiol, 2010, 22: 222-228.
[4] Saw J. Spontaneous coronary artery dissection[J]. Can J Cardiol, 2013, 29: 1027-1033.
[5] Balakrishnan K, Scott P, Oliver L. A confluence of circumstances: a case of IVF, extreme exercise and spontaneous coronary artery dissection[J]. Int J Cardiol, 2016, 203: 76-77.
[6] Saw J, Aymong E, Sedlak T, et al. Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes[J]. Circ Cardiovasc Interv, 2014, 7: 645-655.
[7] Kamran M, Guptan A, Bogal M. Spontaneous coronary artery dissection: case series and review[J]. J Invasive Cardiol, 2008, 20: 553-559.
[8] Butler R, Webster MW, Davies G, et al. Spontaneous dissection of native coronary arteries[J]. Heart, 2005, 91: 223-224.
[9] Eugene M, Siam-Tsieu V, Pilliere R, et al. Recurrent spontaneous coronary artery dissection: unexpected evolution and major role of emotional stress[J]. Int J Cardiol, 2015, 201: 316-318.
[10] Mortensen KH, Thuesen L, Kristensen IB, et al. Spontaneous coronary artery dissection: a Western Denmark Heart Registry study[J]. Catheter Cardiovasc Interv, 2009, 74: 710-717.
[11] Giacoppo D, Capodanno D, Dangas G, et al. Spontaneous coronary artery dissection[J]. Int J Cardiol, 2014, 175: 8-20.
[12] Saw J. Coronary angiogram classification of spontaneous coronary artery dissection[J]. Catheter Cardiovasc Interv, 2014, 84: 1115-1122.
[13] 刘大伟, 张曦彤, 韩向军, 等. 症状性内脏动脉夹层影像学诊断和介入治疗[J]. 介入放射学杂志, 2015, 24: 582-587.
[14] Alfonso F, Paulo M, Gonzalo N, et al. Diagnosis of spontaneous coronary artery dissection by optical coherence tomography[J]. J Am Coll Cardiol, 2012, 59: 1073-1079.
[15] Walsh SJ, Jokhi PP, Saw J. Successful percutaneous management of coronary dissection and extensive intramural haematoma associated with ST elevation MI[J]. Acute Card Care, 2008, 10: 231-233.
[16] 张文俐, 朱政斌, 杜 润, 等. 急性心肌梗死患者药物洗脱支架植入后光学相干层析成像研究[J]. 介入放射学杂志, 2015, 24: 287-291.
[17] Sengottuvelu G, Rajendran R, Majumdar D. Capping spontaneous coronary artery dissection with overlapping bioabsorbable scaffolds[J]. Heart Lung Cir, 2015, 24: E39-E40.

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备注/Memo

备注/Memo:
(收稿日期:2016-02-24)
(本文编辑:边 佶)
更新日期/Last Update: 2016-08-23