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冠状动脉非阻塞性心肌梗死的病因、诊治进展

张 存新, 蓝 晓燕, 黄 卫芳

摘要

心梗患者虽具备心肌梗死症状及检验指标,然而冠脉造影并未发现直径减小 50% 以上的阻塞被称为冠状动脉非阻
塞性心肌梗死(MINOCA)[1]。MINOCA 和非阻塞性心肌缺血构成非阻塞性冠状动脉疾病(NOCAD)[1]。Thygesen 研究 [1]
提示 MINOCA 在所有心肌梗死患者中约占 6% ~ 8%,不同研究患病率有所不同 [2]。在 MINOCA 中,女性占比近 50%[3]。
本文将对 MINOCA 的病因、诊断、治疗进行综述。

关键词

心肌梗死;非阻塞性;冠状动脉疾病

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参考

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