|本期目录/Table of Contents|

[1]刘露 弗瓦德 印国庆 徐斌 骆艳茹 徐思玲 吕贤 车文良.冠状动脉非阻塞性心肌梗死患者的1年预后及预后影响因素分析[J].国际心血管病杂志,2019,04:239-344.
 LIU Lu,FUAD A. Abdu,YIN Guoqing,et al.Results of one-year follow-up and influencing factors of outcomes in patients with myocardial infarction with non-obstructive coronary arteries[J].International Journal of Cardiovascular Disease,2019,04:239-344.
点击复制

冠状动脉非阻塞性心肌梗死患者的1年预后及预后影响因素分析(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2019年04期
页码:
239-344
栏目:
临床研究
出版日期:
2019-09-27

文章信息/Info

Title:
Results of one-year follow-up and influencing factors of outcomes in patients with myocardial infarction with non-obstructive coronary arteries
作者:
刘露 弗瓦德 印国庆 徐斌 骆艳茹 徐思玲 吕贤 车文良
210029 南京医科大学上海十院临床医学院心血管内科(刘露,印国庆,车文良); 200072 上海市第十人民医院(同济大学附属第十人民医院)心血管内科(弗瓦德,徐斌,骆艳茹,徐思玲,吕贤)
Author(s):
LIU Lu1 FUAD A. Abdu2 YIN Guoqing1 XU Bin2 LUO Yanru2 XU Siling2 LV Xian2 CHE Wenliang1
1.Department of Cardiology, Clinical Medical College, Shanghai Tenth People's Hospital of Nanjing Medical University, Nanjing 210029; 2. Department of Cardiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200072, Chi
关键词:
冠状动脉粥样硬化性心脏病 急性冠脉综合征 心肌梗死 冠状动脉造影术 危险因素 随访研究 预后
Keywords:
Coronary artery disease Acute coronary syndrome Myocardial infarction Coronary angiography Risk factors Follow-up studies Prognosis
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2019.04.014
文献标识码:
-
摘要:
目的:探讨冠状动脉非阻塞性心肌梗死(MINOCA)患者的1年预后及预后影响因素。方法:收集2014年4月至2017年11月符合急性心肌梗死(AMI)诊断且冠状动脉造影检查显示冠状动脉非阻塞(狭窄<50%)的MINOCA患者。分析患者的临床特征、治疗策略、随访1年主要不良心血管事件(MACE)的发生率和预后影响因素。结果:2 660例AMI患者中159例诊断为MINOCA,患病率为6.0%。MINOCA平均年龄为(62.7±12.9)岁,女性74例(46.5%),非ST段抬高型心肌梗死(NS
Abstract:
Objective:To investigate the results of one-year follow-up and influencing factors of outcomes in patients with myocardial infarction with non-obstructive coronary arteries(MINOCA).Methods:From April 2014 to November 2017, patients diagnosed as acute myoc

参考文献/References

[ 1 ] Agewall S, Beltrame JF, Reynolds HR, et al. ESC working group position paper on myocardial infarction with non-obstructive coronary arteries[J]. Eur Heart J, 2017, 38(3):143-153.
[ 2 ] Scalone G, Niccoli G, Crea F. Editor's choice-pathophysiology, diagnosis and management of MINOCA: an update[J]. Eur Heart J Acute Cardiovasc Care, 2019, 8(1):54-62.
[ 3 ] Pasupathy S, Air T, Dreyer RP, et al. Systematic review of patients presenting with suspected myocardial infarction and nonobstructive coronary arteries[J]. Circulation, 2015, 131(10):861.
[ 4 ] Planer D, Mehran R, Ohman EM, et al. Prognosis of patients with non-ST-segment-elevation myocardial infarction and nonobstructive coronary artery disease propensity-matched analysis from the acute catheterization and urgent intervention triage strategy trial[J]. Circ Cardiovasc Interv, 2014, 7(3):285-293.
[ 5 ] Bainey KR, Welsh RC, Alemayehu WA, et al. Population-level incidence and outcomes of myocardial infarction with non-obstructive coronary arteries(MINOCA): insights from the Alberta contemporary acute coronary syndrome patients invasive treatment strategies(COAPT)study[J]. Int J Cardiol, 2018, 264:12-17.
[ 6 ] Widimsky P, Stellova B, Groch L, et al. Prevalence of normal coronary angiography in the acute phase of suspected ST-elevation myocardial infarction: experience from the PRAGUE studies[J]. Can J Cardiol, 2006, 22(13):1147-1152.
[ 7 ] Barr PR, Harrison W, Smyth D, et al. Myocardial infarction without obstructive coronary artery disease is not a benign condition(ANZACS-QI 10)[J]. Heart Lung Circ, 2018, 27(2):165-174.
[ 8 ] Smilowitz NR, Mahajan AM, Roe MT, et al. Mortality of myocardial infarction by sex, age, and obstructive coronary artery disease status in the ACTION Registry-GWTG(acute coronary treatment and intervention outcomes network registry-get with the guidelines)[J]. Circ Cardiovasc Qual Outcomes, 2017, 10(12):e003443.
[ 9 ] Larsen AI, Galbraith PD, Ghali WA, et al. Characteristics and outcomes of patients with acute myocardial infarction and angiographically normal coronary arteries[J]. Am J Cardiol, 2005, 95(2):261-263.
[10] Rossini R, Capodanno D, Lettieri CA, et al. Long-term outcomes of patients with acute coronary syndrome and nonobstructive coronary artery disease[J]. Am J Cardiol, 2013, 112(2):150-155.
[11] Williams MJA, Barr PR, Lee M, et al. Outcome after myocardial infarction without obstructive coronary artery disease[J]. Heart, 2019, 105(7):524-530.
[12] Kang WY, Jeong MH, Ahn YK, et al. Are patients with angiographically near-normal coronary arteries who present as acute myocardial infarction actually safe?[J]. Int J Cardiol, 2011, 146(2):207-212.
[13] Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal definition of myocardial infarction(2018)[J]. J Am Coll Cardiol, 2018, 40(3):237-269.
[14] Johnston N, Jönelid B, Christersson C, et al. Effect of gender on patients with ST-elevation and non-ST-elevation myocardial infarction without obstructive coronary artery disease[J]. Am J Cardiol, 2015, 115(12):1661-1666.
[15] Xu HY, Li W, Yang JA, et al. The China acute myocardial infarction(CAMI)registry: a national long-term registry-research-education integrated platform for exploring acute myocardial infarction in China[J]. Am Heart J, 2016, 175:193-201.
[16] Niccoli G, Scalone G, Crea F. Acute myocardial infarction with no obstructive coronary atherosclerosis: mechanisms and management[J]. Eur Heart J, 2015, 36(8):475-481.
[17] Pasupathy S, Tavella R, Beltrame JF. The what, when, who, why, how and where of myocardial infarction with non-obstructive coronary arteries(MINOCA)[J]. Circ J, 2015, 80(1):11-16.
[18] Raparelli V, Elharram M, Shimony A, et al. Myocardial infarction with no obstructive coronary artery disease: angiographic and clinical insights in patients with premature presentation[J]. Can J Cardiol, 2018, 34(4):468-476.
[19] Tornvall P, Gerbaud E, Behaghel A, et al. Myocarditis or "true" infarction by cardiac magnetic resonance in patients with a clinical diagnosis of myocardial infarction without obstructive coronary disease: a meta-analysis of individual patient data[J]. Atherosclerosis, 2015, 241(1):87-91.
[20] Ramanath VS, Armstrong DF, Grzybowski MA, et al. Receipt of cardiac medications upon discharge among men and women with acute coronary syndrome and nonobstructive coronary artery disease[J]. Clin Cardiol, 2010, 33(1):36-41.
[21] Lindahl B, Baron T, Erlinge D, et al. Medical therapy for secondary prevention and long-term outcome in patients with myocardial infarction with nonobstructive coronary artery disease[J]. Circulation, 2017, 135(16):1481-1489.
[22] Nordenskjöld AM, Baron T, Eggers KM, et al. Predictors of adverse outcome in patients with myocardial infarction with non-obstructive coronary artery(MINOCA)disease[J]. Int J Cardiol, 2018, 261:18-23.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81570436); 上海市崇明区“可持续发展科技创新行动计划”项目(CKY2018-18); 上海市卫计委面上项目(201640053)
作者单位:210029 南京医科大学上海十院临床医学院心血管内科(刘露,印国庆,车文良); 200072 上海市第十人民医院(同济大学附属第十人民医院)心血管内科(弗瓦德,徐斌,骆艳茹,徐思玲,吕贤)
通信作者:车文良,Email:chewenliang@tongji.edu.cn
更新日期/Last Update: 2019-09-27