光学相干断层扫描诊断自发性冠状动脉夹层引起的复发性胸痛。

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Pub Date : 2025-10-12 DOI:10.1002/ccd.70253

Weimin Wang, Baotao Huang

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引用次数: 0

摘要

自发性冠状动脉剥离（SCAD）是急性冠状动脉综合征的常见原因，女性的发病率高于男性。我们报告一例中年男性SCAD累及右冠状动脉（RCA），表现为下导联st段抬高型心肌梗死（STEMI）。在我院进行的冠状动脉造影（CAG）显示只有RCA中度狭窄。最终使用光学相干断层扫描（OCT）确认scad诱导的心肌梗死的诊断。

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Recurrent Chest Pain Due to Spontaneous Coronary Artery Dissection Diagnosed by Optical Coherence Tomography.

Spontaneous coronary artery dissection (SCAD) is a common cause of acute coronary syndrome, with a higher incidence in women than in men. We report a case of SCAD in a middle-aged male involving the right coronary artery (RCA), presenting as ST-segment elevation myocardial infarction (STEMI) in the inferior leads. Coronary angiography (CAG) performed at our hospital revealed only moderate stenosis of the RCA. Optical coherence tomography (OCT) was ultimately used to confirm the diagnosis of SCAD-induced myocardial infarction.

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Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

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