慢性心绞痛继发于高须动脉炎。报告1例。

IF 0.5 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Revista medica de Chile Pub Date : 2022-11-01 DOI:10.4067/S0034-98872022001101534
Bruno Dighero, Fernando J Verdugo, Hugo Fuentes, Matías Herrera, Jorge Sandoval, Cecilia Muñoz, Christian Dauvergne, Yenny Ortega, Claudio Parra, Gonzalo Torres
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引用次数: 0

摘要

慢性冠状动脉综合征通常被认为在年轻女性中不常见,与动脉粥样硬化性冠状动脉疾病进展较慢有关,具有不典型的临床表现,并且很少进行诊断调查。发生心绞痛的年轻女性应考虑冠状动脉疾病的非动脉粥样硬化性原因。我们报告一个25岁的妇女谁咨询了五个月的中度用力心绞痛。体格检查显示右颈动脉损伤和上肢外周脉搏不对称。最初的检查和影像学检查可以诊断继发于Takayasu动脉炎的双侧冠状动脉口狭窄的主动脉炎。病人对最初的药物治疗有明显的临床反应。然而,随访评估显示持续明显缺血和需要心肌血运重建。行经皮冠状动脉介入治疗。
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Chronic angina secondary to Takayasu arteritis. Report of one case.

Chronic coronary syndromes are usually considered uncommon in young women, related to slower progression of atherosclerotic coronary artery disease, have atypical clinical presentations, and experience less diagnostic investigation. Non-atherosclerotic causes of coronary artery disease should be considered in young women experiencing angina. We report a 25-year-old woman who consulted for five months of moderate exertion angina. Physical examination revealed a right carotid bruit and asymmetrical upper extremity peripheral pulses. Initial work-up and imaging allowed to diagnose aortitis with bilateral coronary ostial stenosis secondary to Takayasu's arteritis. The patient experienced an apparent clinical response to initial medical therapy. However, follow-up evaluation revealed persistence of significant ischemia and requirement for myocardial revascularization. A percutaneous coronary intervention was performed.

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来源期刊
Revista medica de Chile
Revista medica de Chile 医学-医学:内科
CiteScore
1.20
自引率
16.70%
发文量
75
审稿时长
3-6 weeks
期刊介绍: La Revista Médica de Chile publica trabajos originales sobre temas de interés médico y de Ciencias Biomédicas, dando preferencia a los relacionados con la Medicina Interna y sus especialidades derivadas. Publicada mensualmente, desde 1872, por la Sociedad Médica de Santiago. La abreviatura de su título es Rev Med Chile, que debe ser usado en bibliografías, notas al pié de página, leyendas y referencias bibliográficas.
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