Derkacz Arkadiusz, Nowosad Halina, Arkowski Jacek, Protasiewicz Marcin, Kustrzycki Wojciech
Oddział Kardiodiagnostyki, Klinika Chirurgii Serca AM, Wrocław, Poland.
Kardiol Pol. 2003 Apr;58(4):290-3.
We present a case of 55-year old man with a complex form of ischaemic heart disease. Except a significant narrowing of the circumflex coronary branch, a spasm of several branches of left coronary artery was found. The percutaneous balloon angioplasty and a modification of pharmacological treatment (introduction of nitrates and Ca-blockers) was effective. Clinical aspects and possible mechanisms of coronary artery spasm are discussed.
我们报告一例55岁患有复杂形式缺血性心脏病的男性病例。除了回旋支冠状动脉明显狭窄外,还发现左冠状动脉的几个分支发生痉挛。经皮球囊血管成形术和药物治疗的调整(引入硝酸盐和钙阻滞剂)是有效的。本文讨论了冠状动脉痉挛的临床情况和可能机制。