[变异型心绞痛：一名79岁动脉粥样硬化性冠状动脉疾病男性患者的临床表现]

[Prinzmetal's angina: clinical manifestation in a 79-year-old man with atherosclerotic coronary artery disease].

作者信息

Sosnowska-Pasiarska Barbara, Wozakowska-Kapłon Beata

机构信息

I Oddział Kardiologii, Wojewódzki Szpital Zespolony, Swietokrzyskie Centrum Kardiologii, ul Grunwaldzka 45, 25-736, Kielce, Poland.

出版信息

Kardiol Pol. 2007 Sep;65(9):1101-7; discussion 1108.

PMID:17975759

Abstract

A case of a 79-year-old man with risk factors of ischaemic heart disease is presented. He was admitted to the Cardiology Ward because of recurrent angina pectoris with ST-segment elevation in the anterior electrocardiographic leads. Coronary arteriography revealed 90% stenosis of the marginal branch of the left coronary artery, which was supplied by coronary angioplasty. During hospitalisation recurrent episodes of angina pectoris were noted, only in night hours, with ST-segment elevations in anterior electrocardiographic leads. Pharmacotherapy with calcium blockers and nitrates eliminated the episodes of chest pain in a ten-month follow-up.

摘要

本文介绍了一例79岁患有缺血性心脏病危险因素的男性患者。他因前心电图导联ST段抬高的复发性心绞痛入院。冠状动脉造影显示左冠状动脉边缘支狭窄90%，通过冠状动脉血管成形术进行了治疗。住院期间，仅在夜间出现复发性心绞痛发作，前心电图导联有ST段抬高。在为期十个月的随访中，使用钙通道阻滞剂和硝酸盐的药物治疗消除了胸痛发作。