摘要
冠状动脉非阻塞性心肌梗死(MINOCA)是指患者临床表现符合心肌梗死诊断标准,但行冠状动脉造影显示未见冠状动脉明显阻塞或狭窄<50%。MINOCA在心肌梗死患者中发病率较低,但往往因行冠状动脉造影时未发现有意义的血管狭窄易被忽视,造成预后不佳。现概述已报道的MINOCA的发病机制及其相关的影像学特征。
Myocardial infarction with non-obstructive coronary arteries(MINOCA)refers to patients whose clinical manifestations meet the diagnostic criteria for myocardial infarction,but whose coronary angiography shows no obvious coronary artery occlusion or stenosis<50%.MINOCA has a low incidence rate in patients with myocardial infarction,but it is often neglected due to the absence of meaningful vascular stenosis during coronary angiography,resulting in a poor prognosis.This review will summarize the reported pathogenesis and imaging features of MINOCA.
作者
胥日
羊镇宇
XU Ri;YANG Zhenyu(Wuxi People s Hospital Affiliated to Nanjing Medical University,Wuxi 214023,Jiangsu,China;Department of Cardiology,Wuxi People s Hospital Affiliated to Nanjing Medical University,Wuxi 214023,Jiangsu,China)
出处
《心血管病学进展》
CAS
2021年第2期148-152,共5页
Advances in Cardiovascular Diseases
基金
国家自然科学基金(81770331)。
关键词
心肌梗死
非阻塞性
冠状动脉疾病
冠状动脉造影
Myocardial infarction
Non-obstructive
Coronary artery disease
Coronary angiography
