冠状动脉异常
Francesco Gentile1, Vincenzo Castiglione1, Raffaele De Caterina1,2
1Cardiology Division, Pisa University Hospital, Italy (F.G., V.C., R.D.C.).
Circulation
|September 20, 2021
概括
冠状动脉异常 (CAAs) 是一种先天性心脏病,在成年人中越来越常见. 了解它们的影响和通过成像改善诊断对于患者管理至关重要.
科学领域:
- 心脏病学
- 出生的心脏病
- 医学成像
背景情况:
- 冠状动脉异常 (CAA) 是一种影响冠状动脉起源或进程的先天性疾病.
- 虽然CAAs与运动员的突然心脏死亡有关,但在缺血性心脏病治疗期间,CAAs在成年人中越来越多地被偶然发现.
- 大人的CAA临床意义和预后影响尚不清楚,治疗指南的证据有限.
研究的目的:
- 审查重大CAA的定义,分类和流行病学.
- 突出了解和诊断CAAs的最新进展.
- 讨论多模式成像和功能测试在治疗CAAs中的作用,并探索治疗选择.
主要方法:
- 对冠状动脉异常的文献综述.
- 分析诊断方法,包括侵袭性和非侵袭性冠状动脉成像.
- 评估CAA相关心肌缺血和风险分层的研究.
- 对CAAs目前的治疗策略的审查.
主要成果:
- 在接受缺血性心脏病评估的成年人中,CAA是常见的偶然发现.
- 多模式成像和功能测试在评估CAA相关缺血和改善风险分层方面显示出希望.
- 需要更多的证据来指导CAA的治疗选择.
结论:
- 需要进一步的研究,特别是对成年人的临床影响.
- 多模式成像在对CAA患者的评估和治疗中起着至关重要的作用.
- 需要更好的理解和证据来优化冠状动脉异常的治疗策略.
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