冠状动脉痉挛与左前降支近端中度严重动脉粥样硬化狭窄相关。

Coronary artery spasm associated with a moderately severe atherosclerotic stenosis in the proximal LAD.

作者信息

Ashby Dale T, Conditt Gerard, Hirose Makoto, Dangas George

机构信息

Cardiovascular Research Foundation, Lenox Hill Heart and Vascular Institute, New York, New York 10022, USA.

出版信息

J Invasive Cardiol. 2002 Dec;14(12):770-2.

PMID:12454344

Abstract

Treatment of coronary artery spasm can be difficult; up to 25% of patients continue to have episodes of chest pain despite maximal therapy with calcium antagonists and nitrates. We describe the case of a 42-year-old female with severe coronary artery spasm associated with a moderately severe atherosclerotic stenosis of the proximal left anterior descending coronary artery. We discuss the diagnostic value of intravascular ultrasound and treatment options for spasm associated with atherosclerotic plaques.

摘要

冠状动脉痉挛的治疗可能具有挑战性；尽管使用钙拮抗剂和硝酸盐进行了最大程度的治疗，但仍有高达25%的患者继续出现胸痛发作。我们描述了一名42岁女性的病例，该患者患有严重的冠状动脉痉挛，并伴有左前降支近端中度严重的动脉粥样硬化狭窄。我们讨论了血管内超声的诊断价值以及与动脉粥样硬化斑块相关的痉挛的治疗选择。