Goolamali S I, Loh V L, Sopher M
Cardiology Department, St George's Hospital, Blackshaw Road, Tooting, London SW17 OQT, United Kingdom.
Europace. 2004 Nov;6(6):548-51. doi: 10.1016/j.eupc.2004.08.003.
A 74-year-old man with no known ischaemic heart disease presented to the Cardiology Department with a history of multiple episodes of pre-syncope. During a head-up tilt test to investigate a neurocardiogenic cause, after glyceryl trinitrate provocation he became profoundly hypotensive and unwell. Subsequent ECGs and Troponin-T levels confirmed a Non ST-Elevation Myocardial Infarction. Angiography confirmed coronary artery disease. This case highlights a rare complication of tilt testing and emphasises that the test is not without risk.
一名74岁男性，无已知缺血性心脏病史，因多次前驱晕厥发作前往心内科就诊。在进行头高位倾斜试验以探究神经心源性病因的过程中，在硝酸甘油激发后，他出现严重低血压且身体不适。随后的心电图和肌钙蛋白T水平证实为非ST段抬高型心肌梗死。血管造影证实存在冠状动脉疾病。该病例凸显了倾斜试验一种罕见的并发症，并强调该试验并非毫无风险。
