Coronary Artery Aneurysms as a Cause of Acute Coronary Syndrome Presentation - A Focused Review.

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2023-01-01 DOI:10.2174/1573403X19666230331103508
Azka Latif, Amy Tran, Junaid Ahsan, Noman Lateef, Waiel Abusina, Vikas Kapoor, Zoraiz Ahsan, Soban Ahmad, Mohsin Mirza
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Abstract

Coronary artery aneurysms (CAA) are defined as a dilation of a coronary vessel greater than 1.5 times the diameter of a local reference vessel. While CAAs tend to be incidental findings on imaging, they result in complications, such as thrombosis, embolization, ischemia, arrhythmias, and heart failure. Among symptomatic cases, chest pain has been the most common manifestation of CAAs. This necessitates an understanding of CAAs as a cause of acute coronary syndrome (ACS) presentation. However, due to the unclear pathophysiology of CAAs and their variable presentation complicated by similar ACS conditions, there is no clear strategy for CAA management. In this article, we will discuss the contribution of CAAs to ACS presentations and review the current management options for CAAs.

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冠状动脉瘤作为急性冠状动脉综合征的病因——一篇重点综述。
冠状动脉瘤(CAA)是指冠状血管的扩张大于局部参考血管直径的1.5倍。虽然CAA往往是影像学上的偶然发现,但它们会导致并发症,如血栓形成、栓塞、缺血、心律失常和心力衰竭。在有症状的病例中,胸痛是CAA最常见的表现。这就需要了解CAA作为急性冠状动脉综合征(ACS)表现的原因。然而,由于CAA的病理生理学尚不清楚,其可变表现因类似的ACS条件而复杂,因此没有明确的CAA管理策略。在本文中,我们将讨论CAA对ACS演示的贡献,并回顾CAA的当前管理选项。
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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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