Spontaneous coronary artery dissection in men presenting with acute coronary syndrome, successfully managed by intravascular ultrasound-guided percutaneous coronary intervention
Spontaneous coronary artery dissection in men presenting with acute coronary syndrome, successfully managed by intravascular ultrasound-guided percutaneous coronary intervention
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DOI：
10.1136/bcr-2013-009169
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发表时间：
2014-03
期刊：
影响因子：
0.9
通讯作者：
Bethan Thomas;S. Aslam;J. Cullen;R. Anantharaman
中科院分区：
文献类型：
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作者：
Bethan Thomas;S. Aslam;J. Cullen;R. Anantharaman
自发性冠状动脉夹层是急性冠状动脉综合征的罕见原因。它最常见于年轻女性，无动脉粥样硬化，在围产期。治疗选择包括保守治疗、经皮冠状动脉介入治疗或手术方法，具体取决于表现、夹层程度和管腔狭窄。我们描述了三个不寻常的情况下，自发性冠状动脉夹层发生在年轻/中年男性，第一个与繁重的机械工作，第二个与高水平的焦虑和情绪困扰，第三个与激烈的体育锻炼。在每一个病例中，我们报告了冠状动脉造影和血管内超声在诊断中的应用，以及经皮冠状动脉介入治疗的成功治疗。
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. It is most commonly seen in young women, without atherosclerosis, in the peripartum period. Management options include conservative medical treatment, percutaneous coronary intervention or a surgical approach depending on the presentation, extent of dissection and luminal stenosis. We describe three unusual cases of spontaneous coronary artery dissection occurring in young/middle-aged men—the first in association with heavy mechanical work, the second in association with high levels of anxiety and emotional distress and the third in association with intense physical exercise. In each case we report the use of coronary angiography and intravascular ultrasound in the diagnosis of the condition, and their successful management using percutaneous coronary intervention.