Asselman M A, Westra S W, Verheugt F W A
Universitair Medisch Centrum St Radboud, afd. Cardiologie, 670, Hartlongcentrum, Postbus 9101, 6500 HB Nijmegen.
Ned Tijdschr Geneeskd. 2008 Oct 4;152(40):2155-9.
Angina pectoris is usually the first manifestation ofischaemic heart disease. Men are more often affected than women, but women are often denied the full diagnostic work-up of ischaemic heart disease. A 58-year-old woman had typical angina, positive exercise electrocardiography and a negative coronary arteriogram: syndrome X. She was treated with a beta blocker, aspirin, a statin and an angiotensin-converting enzyme (ACE) inhibitor, and eventually obtained relief of her symptoms.
心绞痛通常是缺血性心脏病的首发症状。男性比女性更易患病，但女性往往无法得到缺血性心脏病的全面诊断检查。一名58岁女性有典型心绞痛症状，运动心电图检查呈阳性，冠状动脉造影检查呈阴性：即X综合征。她接受了β受体阻滞剂、阿司匹林、他汀类药物和血管紧张素转换酶（ACE）抑制剂治疗，最终症状得到缓解。
