Díaz-Castro Oscar, Fernández-López Jesús, Campos Luis, Calvo Francisco, Mantilla Ramón, Goicolea Javier
Servicio de Cardiología, Hospital do Meixoeiro, Pontevedra, España.
Rev Esp Cardiol. 2004 Feb;57(2):177-9.
We describe a patient who presented transient ST-segment elevation and typical chest pain during an ischemia test with dipyridamole and technetium-tetrofosmin. Chest pain and electrical alterations disappeared promptly with sublingual nitroglycerin. Coronary angiography showed no epicardial lesions, and coronary vasospasm was suspected. We discuss possible explanations for this complication.
我们描述了一名患者,其在使用双嘧达莫和锝-四甲基异腈进行缺血试验期间出现短暂性ST段抬高和典型胸痛。舌下含服硝酸甘油后,胸痛和心电图改变迅速消失。冠状动脉造影显示无心外膜病变,怀疑为冠状动脉痉挛。我们讨论了这一并发症的可能原因。