动脉粥样硬化易损斑块快速进展机制与临床治疗进展
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(1.哈尔滨医科大学附属第二医院心内科,黑龙江省哈尔滨市150001;2.心肌缺血教育部重点实验室,黑龙江省哈尔滨市150001)

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The mechanism of progression and clinical intervention of atherosclerotic vulnerable plaque
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1.Department of Cardiology, the 2nd Affiliated Hospital of Harbin Medical University;2.The Key Laboratory of Myocardial Ischemia, Chinese Ministry of Education, Harbin, Heilongjiang 150001, China)

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    摘要:

    心血管疾病居我国居民死亡原因首位,动脉粥样硬化(As)是冠心病的主要病理基础。易损斑块是动脉粥样硬化斑块中发展迅速、具有血栓形成倾向的不稳定性高危斑块,快速进展的斑块可引起恶性临床事件,是急性冠状动脉综合征及脑卒中的主要病理机制。现有的As干预策略可以减少30%~45%的急性心肌梗死及脑卒中,但残存风险依然较大。因此深入探究动脉粥样硬化易损斑块快速进展机制及影响因素对预防和治疗心血管事件具有重要的意义。

    Abstract:

    Cardiovascular disease remains the major cause of death in China. Atherosclerosis (As) has been a crucial pathological foundation of cardiovascular diseases. It is known that the vulnerable plaques in coronary artery are instability high-risk plaques with a tendency to thrombosis who develop rapidly, which act as the pathologic mechanism of acute coronary syndrome (ACS) and ischemic stroke. Although the current anti-atherosclerosis therapy could reduce 30%~45% of acute myocardial infarction and stroke, residual risk of vulnerable plaques remains high. Therefore, it is critical to reach a better understanding of the pathogenesis for plaque vulnerability to identify and treat adverse cardiovascular events.

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田进伟,符亚红.动脉粥样硬化易损斑块快速进展机制与临床治疗进展[J].中国动脉硬化杂志,2019,27(4):277~280.

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  • 收稿日期:2019-01-24
  • 最后修改日期:2019-03-01
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  • 在线发布日期: 2019-04-08