急性应激状态下的胸痛：两个女人的故事

IF 3.2 4区医学 Q2 PHARMACOLOGY & PHARMACY

Clinical therapeutics Pub Date : 2024-12-01 Epub Date: 2024-11-21 DOI:10.1016/j.clinthera.2024.10.012

Bryn E Mumma, Joseph M Kim, Jason H Rogers

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引用次数: 0

摘要

在美国，胸痛是急诊科最常见的就诊原因之一。胸痛的常见病因包括焦虑和心肌梗死（MI）；此外，焦虑和压力还可能导致心肌梗死的发生，尤其是冠状动脉未阻塞性心肌梗死（MINOCA）。我们介绍了两名在急性生活压力下出现急性胸痛并被发现患有 MINOCA 的女性病例。我们讨论了急性应激、胸痛和 MINOCA 之间的关系，以及考虑对急性胸痛女性进行广泛鉴别诊断的重要性。

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Chest Pain in the Setting of Acute Stress: A Tale of Two Women.

Chest pain is one of the most common reasons for emergency department visits in the United States. Common etiologies of chest pain include both anxiety and myocardial infarction (MI); furthermore, anxiety and stress may contribute to the development of MI, particularly MI with non-obstructed coronary arteries (MINOCA). We present the cases of two women with acute chest pain in the setting of acute life stressors who were found to have MINOCA. We discuss the relationship between acute stress, chest pain, and MINOCA, as well as the importance of considering a broad differential diagnosis in women with acute chest pain.

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来源期刊

Clinical therapeutics 医学-药学

CiteScore

6.00

自引率

3.10%

发文量

154

审稿时长

9 weeks

期刊介绍： Clinical Therapeutics provides peer-reviewed, rapid publication of recent developments in drug and other therapies as well as in diagnostics, pharmacoeconomics, health policy, treatment outcomes, and innovations in drug and biologics research. In addition Clinical Therapeutics features updates on specific topics collated by expert Topic Editors. Clinical Therapeutics is read by a large international audience of scientists and clinicians in a variety of research, academic, and clinical practice settings. Articles are indexed by all major biomedical abstracting databases.