Pathophysiology of spontaneous coronary artery dissection: hematoma, not thrombus

被引：4

作者：

Djokovic, Aleksandra ^{[1
,2
]}

Krljanac, Gordana ^{[1
,3
]}

Matic, Predrag ^{[1
,4
]}

Zivic, Rastko ^{[1
,5
]}

Djulejic, Vuk ^{[1
,6
]}

Haljilji, Marija Marjanovic ^{[7
]}

Popovic, Dusan ^{[1
,7
]}

Filipovic, Branka ^{[1
,7
]}

Apostolovic, Svetlana ^{[8
,9
]}

机构：

[1] Univ Belgrade, Fac Med, Belgrade, Serbia

[2] Univ Hosp Ctr Bezanijska Kosa, Dept Cardiol, Belgrade, Serbia

[3] Univ Clin Ctr Serbia, Cardiol Clin, Belgrade, Serbia

[4] Inst Cardiovasc Dis Dedinje, Clin Vasc Surg, Belgrade, Serbia

[5] Clin Hosp Ctr Dr Dragisa Misov Dedinje, Dept Surg, Belgrade, Serbia

[6] Inst Anat, Fac Med, Belgrade, Serbia

[7] Clin Hosp Ctr Dr Dragisa Misov Dedinje, Dept Gastroenterol, Belgrade, Serbia

[8] Univ Clin Ctr Nis, Cardiol Clin, Coronary Care Unit, Nish, Serbia

[9] Univ Nis, Fac Med, Nish, Serbia

来源：

FRONTIERS IN CARDIOVASCULAR MEDICINE | 2023年 / 10卷

关键词：

spontaneous coronary artery dissection; acute coronary syndrome; pathophysiology; women's health; pregnancy; fibromuscular dysplasia; ACUTE MYOCARDIAL-INFARCTION; FIBROMUSCULAR DYSPLASIA; VASA VASORUM; ASSOCIATION; MANAGEMENT; DIAGNOSIS; INSIGHTS; ANATOMY; METAANALYSIS; PROGNOSIS;

D O I：

10.3389/fcvm.2023.1260478

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Spontaneous coronary artery dissection (SCAD) accounts for 1.7%-4% of all acute coronary syndrome presentations, particularly among young women with an emerging awareness of its importance. The demarcation of acute SCAD from coronary atherothrombosis and the proper therapeutic approach still represents a major clinical challenge. Certain arteriopathies and triggers are related to SCAD, with high variability in their prevalence, and often, the cause remains unknown. The objective of this review is to provide contemporary knowledge of the pathophysiology of SCAD and possible therapeutic solutions.

引用

页数：11

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