南方医科大学学报

南方医科大学学报 ›› 2017, Vol. 37 ›› Issue (08): 1010-.

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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

杜媛，韩克，白玲，刘平   

  • 出版日期:2017-08-20 发布日期:2017-08-20

A rare case of spontaneous coronary artery dissection after
emotional stress in a postmenopausal woman

  • Online:2017-08-20 Published:2017-08-20

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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。

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.