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Int J Cardiol：心肌桥严重程度与血管痉挛之间的关系!

2017-07-07 xing.T MedSci原创

心肌桥严重程度血管痉挛
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由此可见，MB，特别是形态学上严重的MB，可能诱发更大程度的冠状动脉血管痉挛。

冠心病是心力衰竭的主要原因，可用的包括临床参数和生物标志物的风险预测模型十分有限。近日，心血管领域权威杂志International Journal of Cardiology上发表了一篇研究文章，研究人员的目的是建立一个这样的预测心力衰竭的模型。据报道心肌桥（MB）可诱发心脏并发症，包括冠状动脉血管痉挛。虽然MB具有一些解剖和形态学变异，但是这些变异与血管痉挛的关联尚不清楚。近日，心血管领域权威杂志International Journal of Cardiology上发表了一篇研究文章，该研究的目的是探讨MB形态学严重程度与乙酰胆碱（ACh）激发试验诱导的血管痉挛之间的关系。该研究共纳入了392例患者，这些患者在左前降支动脉（LAD）未放置支架并且接受了冠状动脉内ACh激发试验。血管造影冠状动脉血管痉挛定义为ACh激发诱导的全部或部分血管闭塞。在冠状动脉造影中通过挤奶效应来确定MB。定量分析LAD中MB的总长度和最大收缩压迫百分比。在140名（36％）患者中LAD中存在MBs，主要发生在中段。LAD中的MB患者与没有合并MB的患者相比更容易激发血管痉挛及发生阳性ACh激发试验。桥接

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    2017-11-08 仁者大医

    #Cardiol#

    0

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    2018-03-07 saikp

    #血管痉挛#

    0

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    2017-07-09 1391e9f2a7m

    学习了，涨知识叶

    0

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    2017-07-09 apoenzyme

    #痉挛#

    0

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    2017-07-08 王秀

    学习了，涨知识了！

    0

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    2017-07-07 184****9840

    学习了谢谢分享

    0

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    2017-07-07 方舒

    学习

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1781783, encodeId=24ed1e817836f, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Wed Nov 08 18:41:00 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1971679, encodeId=364919e167956, content=<a href='/topic/show?id=0ce689e223e' target=_blank style='color:#2F92EE;'>#血管痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89722, encryptionId=0ce689e223e, topicName=血管痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cfab443, createdName=saikp, createdTime=Wed Mar 07 12:41:00 CST 2018, time=2018-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=220172, encodeId=67982201e2bd, content=学习了，涨知识叶, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Sun Jul 09 06:44:33 CST 2017, time=2017-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311747, encodeId=667c1311e47f0, content=<a href='/topic/show?id=624de11204a' target=_blank style='color:#2F92EE;'>#痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71120, encryptionId=624de11204a, topicName=痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7dc7399, createdName=apoenzyme, createdTime=Sun Jul 09 06:41:00 CST 2017, time=2017-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=220100, encodeId=7a4322010002, content=学习了，涨知识了！, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Sat Jul 08 23:43:49 CST 2017, time=2017-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=219673, encodeId=d6232196e37f, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Fri Jul 07 23:20:06 CST 2017, time=2017-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=219646, encodeId=71dc2196463d, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KiblTyxD95ExbzUoCVcRuhPibXboL28wicFMTXUhCA0RWCyQZYC5Na3ap7CxjialMkB50VEJ0XToQQTC/0, createdBy=470c1945776, createdName=方舒, createdTime=Fri Jul 07 22:04:42 CST 2017, time=2017-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=219608, encodeId=598121960876, content=血管造影冠状动脉血管痉挛定义为ACh激发诱导的全部或部分血管闭塞。在冠状动脉造影中通过挤奶效应来确定MB。定量分析LAD中MB的总长度和最大收缩压迫百分比。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Fri Jul 07 19:34:04 CST 2017, time=2017-07-07, status=1, ipAttribution=)]
    2017-07-07 有备才能无患

    血管造影冠状动脉血管痉挛定义为ACh激发诱导的全部或部分血管闭塞。在冠状动脉造影中通过挤奶效应来确定MB。定量分析LAD中MB的总长度和最大收缩压迫百分比。

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