摘要
中国冠心病患者目前总数在逐年上升,全国每年死于冠心病已占城乡居民总死亡原因的首位,大约每5例死亡患者中,就有2例死于冠心病。随着冠状动脉造影及支架植入等介入治疗的成熟,解决了大部分患者的临床问题,大大降低了病死率,但仍有部分患者临床开通罪犯血管后,造影结果提示出现无复流、慢血流,或者冠状动脉造影或冠状动脉CT血管成像技术检查未见冠状动脉大血管狭窄或狭窄<50%,提示可能存在冠状动脉微循环障碍。现就冠状动脉微循环障碍的病理生理、检查方法及治疗做一综述。
The total number of patients with coronary heart disease in China is increasing year by year, and the annual death of coronary heart disease in urban and rura/ areas has accounted for the first cause of death of urban and rural residents, about every 5 cases of death,2 cases died of coronary heart disease. With the coronary angiography and stent implantation and other interventional treatment of mature, to solve the clinical problems of most patients, greatly reducing the mortality rate, but there are still some patients after the clinical opening of criminals blood vessels, angiography results suggest no flow, slow blood flow, or coronary angiography or coronary CT angiography examination no coronary artery stenosis or stenosis less than 50%, suggesting that there may be coronary microcirculation. This article reviews the pathophysiology, examination methods and treatment of coronary microcirculation.
作者
沈伟
王邦宁
SHEN Wei WANG Bangning(Anhui Medical University Graduate School ,Hefei 230000 ,Anhui, China Department of Cardiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230000 ,Anhui, China)
出处
《心血管病学进展》
CAS
2017年第5期566-570,共5页
Advances in Cardiovascular Diseases
关键词
冠状动脉
微循环
病理生理
诊治
Coronary artery
Microcireulation
Pathophysiology
Diagnosis and treatment
