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冠状动脉痉挛非药物治疗的研究进展

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冠状动脉痉挛(CAS)经药物治疗后大多预后良好,但高危痉挛如合并冠状动脉器质性狭窄、左主干痉挛、多支血管痉挛、痉挛致猝死等类型可能需要采用非药物治疗手段。目前,CAS的非药物治疗方式包括冠状动脉介入治疗、交感神经切除术、心肌桥松解术等,但非药物治疗方式的临床适应证及远期效果均不明确。该文就CAS的非药物治疗研究进展进行了综述。
Research progress in non pharmacological treatment of coronary artery spasm
Most cases of coronary artery spasm(CAS)have a good prognosis after drug treatment,but high-risk spasms such as concomitant organic coronary artery stenosis,left main artery spasm,multi vessel spasm,and sudden death caused by spasm may require non pharmacological treatment.At present,non phar-macological treatment methods for CAS include coronary intervention,sympathetic nerve resection,myocardi-al bridge release,etc.However,the clinical indications and long-term effects of non pharmacological treatment methods are not clear.The article reviews the research progress on non pharmacological treatment of CAS.

Coronary artery spasmVariant angina pectorisNon pharmacological treatmentReview

张冬梅、黄颖

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重庆医科大学附属第一医院心血管内科,重庆 400016

冠状动脉痉挛 变异型心绞痛 非药物治疗 综述

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(8)
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