非心脏手术期间冠状动脉痉挛诱发的心室颤动。
Ventricular fibrillation induced by coronary spasm during noncardiac surgery.
作者信息
Nii T, Noda Y, Mori T
机构信息
Department of Internal Medicine, Karatsu Red Cross Hospital, Saga, Japan.
出版信息
Int J Cardiol. 1999 Aug 31;70(3):241-4. doi: 10.1016/s0167-5273(99)00083-2.
Abstract
We report two cases of ventricular fibrillation during noncardiac surgery. Although an emergency coronary angiogram showed no significant coronary stenosis, coronary artery spasm was induced by the intracoronary injection of acetylcholine. It is possible that ventricular fibrillation is caused by coronary artery spasm during noncardiac surgery in patients without overt coronary artery disease.
摘要
我们报告两例非心脏手术期间发生心室颤动的病例。尽管急诊冠状动脉造影显示无明显冠状动脉狭窄，但冠状动脉内注射乙酰胆碱诱发了冠状动脉痉挛。在无明显冠状动脉疾病的患者非心脏手术期间，心室颤动有可能是由冠状动脉痉挛引起的。
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