| 1例绝经后女性在心理应激后发生冠状动脉自发夹层的病例报道 |
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| 引用本文： | 杜媛,韩克,白玲,刘平. 1例绝经后女性在心理应激后发生冠状动脉自发夹层的病例报道[J]. 南方医科大学学报, 2017, 37(8). DOI: 10.3969/j.issn.1673-4254.2017.08.02 |
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| 作者姓名： | 杜媛 韩克 白玲 刘平 |
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| 作者单位： | 西安交通大学第一附属医院心血管内科,陕西 西安,710061 |
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| 基金项目： | Shaanxi Science & Technology Co-ordination&Innovation Project (2012KTCQ03-05).陕西省科技统筹创新工程计划项目 |
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| 摘 要： | 冠状动脉自发夹层(SCAD)是引起急性心肌梗死的少见原因之一,其病因及发病机制目前均尚未明确.大多数SCAD发生于年轻患者及女性患者.本文我们报道了1例52岁绝经后健康女性,其在心理应激后发生SCAD,后者引起急性心肌梗死,最终导致左心室室壁瘤形成.我们希望本例报道可加深理解SCAD这一少见疾病,并提醒临床医师对绝经后女性发生急性胸痛做出诊断时,应更加关注其心理健康状况.
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| 关 键 词： | 冠状动脉自发夹层 绝经后女性 心理应激 |
A rare case of spontaneous coronary artery dissection after emotional stress in a postmenopausal woman |
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| DU Yuan,HAN Ke,BAI Ling,LIU Ping. A rare case of spontaneous coronary artery dissection after emotional stress in a postmenopausal woman[J]. Journal of Southern Medical University, 2017, 37(8). DOI: 10.3969/j.issn.1673-4254.2017.08.02 |
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| Authors: | DU Yuan HAN Ke BAI Ling LIU Ping |
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| Abstract: | Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction. While its etiology and pathogenesis remain not fully understood, SCAD occurs most frequently in patients at a young age and of a female gender. We report a case of SCAD in a 52-year-old healthy postmenopausal woman who developed acute myocardial infarction and subsequent ventricular aneurysm after emotional stress. This case may provide valuable insight into this rare disease and highlights the importance of psychological factors as contributing factors of SCAD in postmenopausal women with acute onset of chest pain. |
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| Keywords: | spontaneous coronary artery dissection postmenopausal woman emotional stress |
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