Shaikh B Iqbal, Yakubu Bene-Alhasan, Shiavax J Rao
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引用次数: 0
摘要
虽然自发性冠状动脉夹层（SCAD）以前被认为是罕见的，但越来越多的人认为它是年轻女性心肌梗死的重要原因。我们介绍了三例独特的 SCAD 病例：一名 46 岁女性，有三叉神经痛和焦虑病史，表现为肌钙蛋白 I 升高和胸痛。一名 36 岁女性，近期流产，表现为弥漫性 T 波倒置和肌钙蛋白-I 升高。一名 58 岁男性，近期感染了 COVID-19，出现弥漫性 ST 波抬高。SCAD 与许多危险因素有关。与PCI治疗动脉粥样硬化性急性冠脉综合征相比，保守治疗可使血管自发愈合。
Spontaneous Coronary Artery Dissection: A Case Series and Review of the Literature.
Although previously considered rare, spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of myocardial infarction in young women. We present three unique cases of SCAD: A 46-year-old woman with a history of trigeminal neuralgia and anxiety presenting elevated troponin-I and chest pain. A 36-year-old woman with recent miscarriage presenting with diffuse T wave inversions and elevated troponin-I. A 58-year-old man with a recent COVID-19 infection presenting with diffuse ST elevations. SCAD is associated with many risk factors. Conservative management is preferred due to spontaneous healing of vessels compared to PCI-driven management of atherosclerotic acute coronary syndrome.
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