对Angina和非阻塞性冠状动脉的实用方法:一项最先进的技术审查
Coen K M Boerhout1, Marcel A M Beijk1, Peter Damman2
1Heart Center, Amsterdam UMC, Amsterdam, The Netherlands.
Korean circulation journal
|August 1, 2023
概括
没有阻塞性冠状动脉疾病 (CAD) 的胸痛通常是由于微循环血管运动障碍. 本综述详细介绍了非阻塞性心血管疾病患者心痛的病理生理学,诊断和管理.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 临床病理生理学 临床病理生理学
背景情况:
- 在缺乏显著阻塞性冠状动脉疾病 (CAD) 的患者中,胸痛症状很常见.
- 冠状动脉微循环的血管运动障碍,包括异常的血管扩张和冠状动脉,越来越多地被确定为关键的潜在机制.
- 尽管越来越多的证据表明,管理这些患者会带来诊断和治疗方面的挑战.
研究的目的:
- 在非阻塞性冠状动脉的背景下,对心痛的病理生理基础进行全面的审查.
- 讨论这个患者群体的诊断挑战和治疗策略.
- 为患有非阻塞性心血管疾病的胸痛患者提供一个实用的管理方法.
主要方法:
- 文献综述侧重于病理生理学,诊断和治疗心痛与非阻塞性冠状动脉.
- 关于微血管功能障碍和冠状动脉血管的现有证据的综合.
- 开发一个实用的临床管理框架.
主要成果:
- 非阻塞性CAD患者患有胸痛往往具有潜在的冠状动脉血管疾病.
- 诊断需要专门的评估超出标准血管造影.
- 有效的管理策略针对微血管功能和血管.
结论:
- 缺少阻塞性CAD的胸痛是一种独特的临床实体,由微血管功能障碍或血管驱动.
- 系统的诊断和治疗方法对于最佳的患者结果至关重要.
- 本综述为临床医生管理这些复杂病例提供了实用指南.
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