纤维肌发育不良：心脏病专家重点回顾

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

CJC Open Pub Date : 2024-11-01 DOI:10.1016/j.cjco.2024.07.014

Taylor Petropoulos MD , Anita Shah HBSc , Andrew Dueck MD , Christine Hawkes MD , Sheldon W. Tobe MD , William Kingston MD , Mina Madan MD, MHS

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引用次数: 0

摘要

自发性冠状动脉夹层（SCAD）是越来越多的急性冠状动脉综合征的病因。纤维肌性发育不良（FMD）是一种特发性、非动脉粥样硬化性和非炎症性动脉疾病，影响中小型动脉，可导致多灶性动脉瘤、狭窄、迂曲和夹层。在大约 70% 的 SCAD 患者中发现了冠状动脉外 FMD，建议所有 SCAD 患者在有生之年使用从头部到骨盆的计算机断层扫描血管造影术进行一次 FMD 筛查。这篇针对心脏病专家的重点综述概述了目前诊断和治疗 FMD 患者的方法。

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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Fibromuscular Dysplasia: A Focused Review for the Cardiologist

Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndromes. Fibromuscular dysplasia (FMD) is an idiopathic, nonatherosclerotic, and noninflammatory arterial disease that affects small- to medium-sized arteries that can result in multifocal aneurysms, stenosis, tortuosity, and dissections. Extracoronary FMD has been identified in approximately 70% of SCAD patients and it is recommended that all SCAD patients undergo screening for FMD once in their lifetime using computed tomography angiography from head to pelvis. This focused review for cardiologists outlines current approaches to diagnosis and management of patients with FMD.

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