自发性冠状动脉夹层一线治疗策略研究进展

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摘要自发性冠状动脉夹层被定义为是一种与医源性和创伤无关的非动脉粥样硬化性冠状动脉壁自发分离的疾病。在管理自发性冠状动脉夹层患者时，早期诊断至关重要，这可以避免不必要的甚至有潜在危害的治疗。因此，本文对目前自发性冠状动脉夹层患者一线治疗方法——保守药物治疗或血运重建技术作一综述。

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	胡海莹刘文静常超

关键词 ：自发性冠状动脉夹层, 药物治疗, 血运重建

Abstract：Spontaneous coronary artery dissection (SCAD) is defined as a non-traumatic and non-iatrogenic separation of the coronary arterial walls that creates a false lumen. When managment of SCAD patients, early diagnosis is crucial so that the use of unnecessary and even potentially harmful pharmacologic therapies may be avoided. Therefore, the aim of this article is to provide a review of the first-line approaches——conservative or revascularisation for patients with SCAD.

Key words： Spontaneous coronary artery dissection Conservative Revascularisation

基金资助:河北省科技计划项目（16277714D）；
河北省卫生计划项目（20160020）。

通讯作者: 常超（1973.8-），男，博士，主任医师，教授，主要从事冠心病诊治、心血管病介入治疗研究。

作者简介: 胡海莹（1990.11-），女，河北工程大学医学院2016级心血管内科专业在读硕士研究生。

引用本文:

胡海莹刘文静常超. 自发性冠状动脉夹层一线治疗策略研究进展[J]. 中国医药导报, 2017, 14(32): 31-34.
HU Haiying LIU Wenjing CHANG Chao. Research progress of the first-line treatment strategy for spontaneous coronary. 中国医药导报, 2017, 14(32): 31-34.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2017/V14/I32/31

[1] Yip A，Saw J. Spontaneous coronary artery dissection–A review [J]. Cardiovasc Diagn Ther，2015，5（1）：37-48.
[2] Vanzetto G，Berger-Coz E，Barone-Rochette G，et al. Prevalence，therapeutic management and medium-term prognosis of spontaneous coronary artery dissection：Results from a database of 11，605 patients [J]. Eur J Cardiothorac Surg，2009，35（2）：250-254.
[3] Nishiguchi T，Tanaka A，Ozaki Y，et al. Prevalence of spontaneous coronary artery dissection in patients with acute coronary syndrome [J]. Eur Heart J Acute Cardiovasc Care，2016，61（3）：263-270.
[4] Elkayam U，Jalnapurkar S，Barakkat MN，et al. Pregnancyassociated acute myocardial infarction：A review of contemporary experience in 150 cases between 2006 and 2011 [J]. Circulation，2014，129（16）：1695-1702.
[5] Rogowski S，Maeder MT，Weilenmann D，et al. Spontaneous coronary artery dissection：angiographic follow-up and long-term clinical outcome in a predominantly medically treated population [J]. Catheter Cardiovasc Interv，2017， 89（1）：59-68.
[6] Henkin S，Negrotto SM，Tweet MS，et al. Spontaneous coronary artery dissection and its association with heritable connective tissue disorders [J]. Heart，2016，102：876-881.
[7] Vrints CJ. Spontaneous coronary artery dissection [J]. Heart，2010，96（10）：801-808.
[8] Alfonso F，Bastante T，Rivero F，et al. Spontaneous coronary artery dissection-from diagnosis to management [J]. Circ J，2014，78（9）：2099-2110.
[9] 叶才盛，杨人强.自发性冠脉夹层的研究进展[J].广东医学，2017，38（7）：1122-1124.
[10] Saw J，Mancini GB，Humphries KH. Contemporary review on spontaneous coronary artery dissection [J]. J Am Coll Cardiol，2016，68（3）：297-312.
[11] Alfonso F，Bastante T，García-Guimaraes M，et al. Spontaneous coronary artery dissection：New insights into diagnosis and treatment [J]. Coron Artery Dis，2016，27（8）：696-706.
[12] 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（12）：1073-1079.
[13] Das Neves BC，Nuez-Gil IJ，Alfonso F，et al. Evolutive recanalization of spontaneous coronary artery dissection：insights from a multimodality imaging approach [J]. Circulation，2014，129（6）：719-720.
[14] Tweet MS，Eleid MF，Best PJ，et al. Spontaneous coronary artery dissection：Revascularization versus conservative therapy [J]. Circ Cardiovasc Interv，2014，7（6）：777-786.
[15] Alfonso F，Paulo M，Lennie V，et al. Spontaneous coronary artery dissection：Long-term follow-up of a large series of patients prospectively managed with a “conservative” therapeutic strategy [J]. JACC Cardiovasc Interv，2012，5（10）：1062-1070.
[16] Tweet MS，Hayes SN，Pitta SR，et al. Clinical features，management，and prognosis of spontaneous coronary artery dissection [J]. Circulation，2012，126（5）：579-588.
[17] 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，2014，64（11）：645-655.
[18] Tweet MS，Gulati R Hayes SN. What Clinicians Should Know Αbout Spontaneous Coronary Artery Dissection [J]. Mayo Clinic Proceedings，2015，90（8）：1125-1130.
[19] Nakashima T，Noguchi T，Haruta S，et al. Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction：A report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan [J]. Int J Cardiol，2016，207：341-348.
[20] Lettieri C，Zavalloni D，Rossini R，et al. Management and long-term prognosis of spontaneous coronary artery dissection [J]. Am J Cardiol ，2015，116（1）：66-73.
[21] McGrath-Cadell L，McKenzie P，Emmanuel S，et al. Outcomes of patients with spontaneous coronary artery dissection [J]. Open Heart，2016，3（2）：e000491.
[22] Shamloo BK，Chintala RS，Nasur A，et al. Spontaneous coronary artery dissection：Aggressive vs. conservative therapy [J]. J Invasive Cardiol ，2010，22（5）：222-228.
[23] Saw J，Mancini GB，Humphries K，et al. Angiographic appearance of spontaneous coronary artery dissection with intramural hematoma proven on intracoronary imaging [J]. Catheter Cardiovasc Interv，2016，87（2）：E54-E61.
[24] Martins JL，Afreixo V，Santos L，et al. Medical treatment or revascularisation as the best approach for spontaneous coronary artery dissection：A systematic review and meta-analysis [J]. Eur Heart J Acute Cardiovasc Care，2017：2048872617706502.doi：10.1177/2048872617706502. [Epub ahead of print]
[25] Hovakuk O，Goland S，Mehra A，et al. Pregnancy and the risk of spontaneous coronary artery dissection：An analysis of 120 contemporary cases [J]. Circ Cardiovasc Interv，2017，10（3）：e004941.
[26] Bastante T，Cuesta J，García-Guimaraes M，et al. Current management of spontaneous coronary artery dissection [J]. Expert Rev Cardiovasc Ther，2017，15（8）：619-628.