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[无冠状动脉病变患者双嘧达莫负荷试验期间的ST段抬高]

[ST segment elevation during dipyridamole stress testing in a patient without coronary lesions].

作者信息

Díaz-Castro Oscar, Fernández-López Jesús, Campos Luis, Calvo Francisco, Mantilla Ramón, Goicolea Javier

机构信息

Servicio de Cardiología, Hospital do Meixoeiro, Pontevedra, España.

出版信息

Rev Esp Cardiol. 2004 Feb;57(2):177-9.

PMID:14967116
Abstract

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.

摘要

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。

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Rev Esp Cardiol. 2004 Feb;57(2):177-9.
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Dipyridamole-induced STEMI: case report and review of the literature.双嘧达莫诱发的ST段抬高型心肌梗死:病例报告及文献综述
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