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变异性心绞痛并发多形性室性心动过速。

Variant angina complicated by polymorphic ventricular tachycardia.

机构信息

Cardiac Clinic, Groote Schuur Hospital and the University of Cape Town, South Africa.

Cardiac Clinic, Groote Schuur Hospital and the University of Cape Town, South Africa.

出版信息

Int J Cardiol. 2010 Nov 19;145(2):e47-e49. doi: 10.1016/j.ijcard.2008.12.138. Epub 2009 Feb 7.

DOI:10.1016/j.ijcard.2008.12.138
PMID:19201491
Abstract

We report a case of variant angina with a classic clinical presentation complicated by polymorphic ventricular tachycardia. The diagnosis was confirmed by demonstrating ST segment elevation during an episode of angina and subsequently by inducing multi-vessel coronary spasm with ergonovine. The patient was treated successfully with long-acting calcium-channel blockers and nitrates.

摘要

我们报告一例变异性心绞痛病例,其具有典型的临床表现,并伴有多形性室性心动过速的并发症。通过在心绞痛发作期间显示 ST 段抬高,并随后用麦角新碱诱发多支冠状动脉痉挛,从而确诊该病例。该患者经长效钙通道阻滞剂和硝酸盐治疗后成功治愈。

相似文献

1
Variant angina complicated by polymorphic ventricular tachycardia.变异性心绞痛并发多形性室性心动过速。
Int J Cardiol. 2010 Nov 19;145(2):e47-e49. doi: 10.1016/j.ijcard.2008.12.138. Epub 2009 Feb 7.
2
Polymorphic ventricular tachycardia induced by coronary vasospasm: a malignant case of variant angina.冠状动脉痉挛诱发的多形性室性心动过速:变异型心绞痛的一例恶性病例。
Int J Cardiol. 2007 Oct 1;121(2):210-2. doi: 10.1016/j.ijcard.2006.08.087. Epub 2006 Nov 27.
3
Polymorphic ventricular tachycardia due to variant angina diagnosed on Holter monitoring and confirmed with cold pressor test.通过动态心电图监测诊断并经冷加压试验证实的变异型心绞痛所致多形性室性心动过速。
Turk Kardiyol Dern Ars. 2017 Apr;45(3):271-274. doi: 10.5543/tkda.2016.55874.
4
Images in cardiovascular medicine. ST-elevation alternans and nonsustained polymorphic ventricular tachycardia in a patient with Prinzmetal (variant) angina.心血管医学影像。一名变异型心绞痛(Prinzmetal 心绞痛)患者的 ST 段抬高交替性改变与非持续性多形性室性心动过速
Circulation. 2010 Mar 23;121(11):1371-3. doi: 10.1161/CIR.0b013e3181d8d759.
5
Programmed ventricular stimulation during variant angina: report of a case.变异型心绞痛期间的程控心室刺激:一例报告
Pacing Clin Electrophysiol. 1989 Dec;12(12):1878-83. doi: 10.1111/j.1540-8159.1989.tb01879.x.
6
Clinical observation of spontaneous anginal attacks and multivessel spasm in variant angina pectoris with normal coronary arteries: evaluation by 24-hour 12-lead electrocardiography with computer analysis.冠状动脉正常的变异型心绞痛患者自发性心绞痛发作及多支血管痉挛的临床观察:通过24小时12导联心电图及计算机分析进行评估
J Am Coll Cardiol. 1996 Jan;27(1):38-44. doi: 10.1016/0735-1097(95)00423-8.
7
Significant characteristics of variant angina patients with associated syncope.伴有晕厥的变异型心绞痛患者的显著特征。
Jpn Heart J. 1996 May;37(3):317-26. doi: 10.1536/ihj.37.317.
8
[Prinzmetal's variant angina with transient complete atrio-ventricular block--case report].[变异性心绞痛伴短暂完全性房室传导阻滞——病例报告]
Pol Arch Med Wewn. 2002 Jul;108(1):675-80.
9
Prinzmetal angina attacks with emphasis on ventricular arrythmias.变异型心绞痛发作并着重关注室性心律失常。
J Electrocardiol. 2013 Nov-Dec;46(6):729-30. doi: 10.1016/j.jelectrocard.2013.08.009. Epub 2013 Sep 9.
10
[Clinical differences between variant and non-variant angina pectoris].[变异型与非变异型心绞痛的临床差异]
J Cardiol. 1998 Aug;32(2):83-8.

引用本文的文献

1
Ventricular Tachycardia Associated Syncope in a Patient of Variant Angina without Chest Pain.变异型心绞痛患者无胸痛情况下的室性心动过速相关性晕厥
Korean Circ J. 2016 Jan;46(1):102-6. doi: 10.4070/kcj.2016.46.1.102. Epub 2015 Dec 29.
2
Recurrent myocardial infarction secondary to Prinzmetal's variant angina.继发于变异型心绞痛的复发性心肌梗死。
Singapore Med J. 2015 May;56(5):e74-7. doi: 10.11622/smedj.2015077.
3
An unusual cause of blackout with transient loss of consciousness: Prinzmetal angina.一例伴有短暂意识丧失的昏厥的罕见病因:变异型心绞痛。
BMJ Case Rep. 2012 Jun 14;2012:bcr0120125539. doi: 10.1136/bcr.01.2012.5539.