Coronary artery plaque and microvascular lesions——Inspirations of 2013 ESC guidelines on the SCAD
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摘要: 2013年欧洲心脏病学会 (ESC) 发表的《稳定性冠状动脉疾病管理指南》中, 重新定义了稳定性冠心病 (SCAD)。其发病不仅包括动脉粥样硬化性斑块狭窄, 还涉及由运动或应激引起冠状动脉微循环障碍或冠状动脉痉挛导致的胸痛。因此, 该指南带来新的启示, 尽管心外膜冠状动脉较大血管的再灌注, 能使冠心病预后获得极大改善, 我们仍需密切关注冠状动脉微循环及心肌细胞水平的再灌注, 并探索有效治疗途径。Abstract: The 2013 ESC guideline on the management of stable coronary artery disease (SCAD) redefined SCAD.The pathogenesis includes not only plaque-related obstruction of epicardial arteries, but also the chest pain caused by coronary microvascular dysfunction or coronary spasm induced by exercise or stress.Based on the inspirations from 2013 ESC SCAD guidelines, although outcome of coronary disease after epicaridal arteries reperfusion therapy have been significant improved, we should pay more attention to investigate effective reperfusion therapies on coronary microvascular and myocardial dysfunction.
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