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