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钙化结节与急性冠脉综合征

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动脉粥样硬化病变钙化结节(ACN)是引起冠状动脉血栓形成与急性冠脉综合征(ACS)的少见但重要的原因.爆裂型钙化结节(ECN)是引起心源性猝死的一种病因,其典型表现为突入管腔的成簇的爆裂样钙化碎片伴有纤维帽破裂,表面附着有血栓.ACN相关的ACS预后较差,围手术期心肌梗死、心源性死亡、靶病变再次血运重建等的发生率较高.本文就ACN的研究进展作一综述.
Calcified nodule and acute coronary syndrome
Atherosclerotic calcified nodule is rare but important cause of coronary artery thrombosis and acute coro-nary syndrome.Eruptive calcified nodule is characterized by clusters of burst like calcified fragments protruding into the lumen accompanied by ruptured fibrous caps and thrombus attached to the surface,which is a potential cause of sudden car-diac death.The prognosis of acute coronary syndrome caused by calcified nodule is poor,and the incidence of periopera-tive myocardial infarction,cardiac death,and target lesion revascularization is high.This article reviews the progress in the diagnosis and treatment of atherosclerotic calcified nodule in coronary artery.

atherosclerosiscalcified nodulesacute coronary syndromeoptical coherence tomography

刘强、杨晓涵、杜庆

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济南市心血管病研究所 济南市第四人民医院心血管内科

济南市第四人民医院导管室

济南市第四人民医院急诊科,山东省济南市 250031

动脉粥样硬化 钙化结节 急性冠脉综合征 光学相干断层成像

山东省自然科学基金青年基金

ZR2020QH015

2024

中国动脉硬化杂志
中国病理生理学会 南华大学

中国动脉硬化杂志

CSTPCD
影响因子:1.086
ISSN:1007-3949
年,卷(期):2024.32(7)