[血管痉挛性心绞痛：一种诊断不足的病理]。

Q4 Medicine

Revue medicale suisse Pub Date : 2024-09-04 DOI:10.53738/REVMED.2024.20.885.1560

Antoine Baroz, Yazan Musayeb, Sophie Degrauwe, Marco Roffi, Juan F Iglesias

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引用次数: 0

摘要

1959 年，Myron Prinzmetal 仅凭病史和心电图首次将血管痉挛性心绞痛（VSA）描述为 "心绞痛的变异形式"。目前，这种情况被归类为无冠状动脉阻塞的心肌梗死（无冠状动脉阻塞性心肌梗死（MINOCA））的一种终末类型。诊断标准已由专家共识提出。冠状动脉造影术中的诱发试验是金标准试验，但很少使用。临床表现常常被忽视，从而导致漏诊。然而，VSA 可能导致危及生命的心律失常。目前有一些简单有效的疗法，但与动脉粥样硬化性冠状动脉疾病的疗法明显不同。

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[Vasospastic angina : an underdiagnosed pathology].

Vasospastic angina (VSA) was first described in 1959 by Myron Prinzmetal as "the variant form of angina pectoris" on the sole basis of medical history and ECG. This condition is currently categorized as an endotype of myocardial infarction without coronary obstruction (Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA)). Diagnostic criteria have been suggested by expert consensus. Provocative testing during coronary angiography is the gold standard test but is rarely used. The clinical presentation is often neglected, and the diagnosis is missed. However, VSA may lead to life-threatening arrhythmias. There are simple and effective therapies that are markedly different from those for the atherosclerotic coronary artery disease.

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来源期刊

Revue medicale suisse Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

1210

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