Myocardial infarction with normal coronary arteries: a case report and review of the literature.
Myocardial infarction with normal coronary arteries: a case report and review of the literature.
复制标题
与正常冠状动脉的心肌梗塞：病例报告和文献综述。
DOI：
10.1186/1752-1947-3-24
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发表时间：
2009-01-23
影响因子：
1
通讯作者：
Catalano C
中科院分区：
文献类型：
--
作者：
Iuliano L;Micheletta F;Napoli A;Catalano C
尽管急性心肌梗塞通常与阻塞性冠状动脉疾病相关，但与正常冠状动脉相关的心肌梗塞是众所周知的病症。正常冠状动脉心肌梗塞的总体患病率被认为较低，根据“正常”冠状动脉的定义从 1% 到 12% 不等。我们在这里描述了一名 49 岁女性的病例，她既往有心肌梗塞病史，在没有出现不良后果的高风险情况的情况下，在 10 年随访后仍然没有症状。她接受了多层冠状动脉计算机断层扫描和全身血管造影检查，结果显示冠状动脉和冠状动脉正常。本案例报告提出了两个重要问题。首先，多层计算机断层扫描/冠状动脉造影在已知或疑似冠状动脉疾病患者的风险和预后评估中的可能作用。其次，长期药物治疗对于既往心肌梗死且冠状动脉正常的患者发挥着重要作用。
Although acute myocardial infarction is generally associated with obstructive coronary artery disease, myocardial infarction associated with normal coronary arteries is a well-known condition. The overall prevalence rate of myocardial infarction with normal coronary arteries is considered to be low, varying from 1% to12% depending on the definition of "normal" coronary arteries. We describe here a case of a 49-year-old woman with a history of prior myocardial infarction who continued to be asymptomatic after a 10-year follow-up, in the absence of a high-risk profile for adverse outcomes. She was studied with multi-slice coronary computed tomography and whole-body angiography, which showed normal coronary and extra-coronary arteries. This case report raises two important issues. First, the possible role of multi-slice computed tomography/coronary angiography in the risk- and prognosis assessment of patients with known or suspected coronary artery disease. Second, the important role played by long-term pharmacological therapy in patients with prior myocardial infarction and normal coronary arteries.