Coronary vasospasm and future percutaneous coronary intervention: relax

M. McDermott, R. Bing
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引用次数: 1

Abstract

A clinical diagnosis of suspected angina that is accompanied by non- obstructive epicardial coronary artery disease is not uncommon, as evidenced by results from contemporary registries and trials of anatomical testing in chest pain. The basket labelled as angina with non-obstructive coronary artery disease (ANOCA—the clinical syndrome that may or may not accompany ischaemia with non- obstructive coronary artery disease (INOCA)) contains heterogeneous patho-physiological entities which vary in clinical presentation and adjunctive investigation findings. 1 One distinct entry in this field is vasospastic angina, a dynamic phenomenon with characteristic symptoms that differ from those induced by fixed epicardial coronary artery stenoses. Although the seminal case series which provided the eponymous nomen-clature for this clinical syndrome was published well before many (probably most) readers of Heart were born, attempts to codify and standardise defini-tions for vasospastic angina have only recently been promulgated. 2 The syndrome is seen in only a small propor-tion of patients with chest pain, with correspondingly limited sections in current guidelines. 3 4 The diagnostic process can be difficult and the clinical course uncertain. The latter is salient, events. 5
冠状动脉血管痉挛与未来经皮冠状动脉介入治疗:放松
疑似心绞痛并伴有非阻塞性心外膜冠状动脉疾病的临床诊断并不罕见,当代胸痛解剖试验的结果证明了这一点。标记为心绞痛合并非阻塞性冠状动脉疾病(anoca -可能或可能不伴有缺血性非阻塞性冠状动脉疾病(INOCA)的临床综合征)的篮子包含异质性的病理生理实体,其临床表现和辅助调查结果各不相同。1血管痉挛性心绞痛是该领域的一个独特的切入点,它是一种动态现象,其特征症状不同于固定心外膜冠状动脉狭窄引起的心绞痛。尽管在许多(可能是大多数)《心脏》杂志的读者出生之前,为这种临床综合征提供同名命名的开创性病例系列就已经出版了,但对血管痉挛性心绞痛的定义进行编纂和标准化的尝试直到最近才被公布。2该综合征仅见于一小部分胸痛患者,在现行指南中相应的分级也有限。诊断过程可能很困难,临床病程也不确定。后者是突出的事件。5
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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